Provider Demographics
NPI:1013131028
Name:ALLIANCE SLEEP DIAGNOSTICS,LLC
Entity Type:Organization
Organization Name:ALLIANCE SLEEP DIAGNOSTICS,LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:TONY
Authorized Official - Middle Name:MICHAEL
Authorized Official - Last Name:GARCIA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:866-614-5258
Mailing Address - Street 1:PO BOX 967
Mailing Address - Street 2:
Mailing Address - City:CHINO HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:91709-0033
Mailing Address - Country:US
Mailing Address - Phone:866-614-5258
Mailing Address - Fax:909-393-3587
Practice Address - Street 1:1485 SPRUCE ST STE Q
Practice Address - Street 2:
Practice Address - City:RIVERSIDE
Practice Address - State:CA
Practice Address - Zip Code:92507-7421
Practice Address - Country:US
Practice Address - Phone:866-614-5258
Practice Address - Fax:939-393-5857
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-12
Last Update Date:2008-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QS1200XAmbulatory Health Care FacilitiesClinic/CenterSleep Disorder Diagnostic