Provider Demographics
NPI:1023252970
Name:SUNNYVALE OPERATING COMPANY LLC
Entity type:Organization
Organization Name:SUNNYVALE OPERATING COMPANY LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:JIM
Authorized Official - Middle Name:
Authorized Official - Last Name:EVANGER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:904-517-5500
Mailing Address - Street 1:7900 BELFORT PARKWAY
Mailing Address - Street 2:SUITE 301
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32256-6978
Mailing Address - Country:US
Mailing Address - Phone:904-517-5500
Mailing Address - Fax:904-517-5501
Practice Address - Street 1:12980 SARATOGA AVE
Practice Address - Street 2:SUITE C
Practice Address - City:SARATOGA
Practice Address - State:CA
Practice Address - Zip Code:95070-4659
Practice Address - Country:US
Practice Address - Phone:408-725-0286
Practice Address - Fax:408-725-0286
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:AMERICAN SLEEP MEDICINE, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2009-04-22
Last Update Date:2014-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QS1200XAmbulatory Health Care FacilitiesClinic/CenterSleep Disorder Diagnostic