Provider Demographics
NPI:1013274026
Name:SLEEP CONSULTANTS OF CALIFORNIA LLC
Entity Type:Organization
Organization Name:SLEEP CONSULTANTS OF CALIFORNIA LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:ZACHARY
Authorized Official - Middle Name:
Authorized Official - Last Name:ROBBINS
Authorized Official - Suffix:
Authorized Official - Credentials:RPSGT
Authorized Official - Phone:855-293-3700
Mailing Address - Street 1:2740 N GAREY AVE
Mailing Address - Street 2:STE 203
Mailing Address - City:POMONA
Mailing Address - State:CA
Mailing Address - Zip Code:91767-1800
Mailing Address - Country:US
Mailing Address - Phone:855-293-3700
Mailing Address - Fax:855-293-3701
Practice Address - Street 1:2740 N GAREY AVE
Practice Address - Street 2:STE 203
Practice Address - City:POMONA
Practice Address - State:CA
Practice Address - Zip Code:91767-1800
Practice Address - Country:US
Practice Address - Phone:855-293-3700
Practice Address - Fax:855-293-3701
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-04-13
Last Update Date:2014-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QS1200XAmbulatory Health Care FacilitiesClinic/CenterSleep Disorder Diagnostic
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAZZZ74105YOtherBLUE SHIELD OF CALIFORNIA PIN
CA32100OtherINLAND EMPIRE HEALTH PLAN PIN
CACB205993Medicare PIN