Provider Demographics
NPI:1205010105
Name:ALTO SLEEP
Entity type:Organization
Organization Name:ALTO SLEEP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICER
Authorized Official - Prefix:MRS
Authorized Official - First Name:HOMA
Authorized Official - Middle Name:
Authorized Official - Last Name:TABATABAIE ADNANI
Authorized Official - Suffix:
Authorized Official - Credentials:RPSGT
Authorized Official - Phone:650-967-8787
Mailing Address - Street 1:305 SOUTH DRIVE #4
Mailing Address - Street 2:
Mailing Address - City:MOUNTAIN VIEW
Mailing Address - State:CA
Mailing Address - Zip Code:94040-4207
Mailing Address - Country:US
Mailing Address - Phone:650-967-8787
Mailing Address - Fax:650-967-8788
Practice Address - Street 1:305 SOUTH DR STE 4
Practice Address - Street 2:
Practice Address - City:MOUNTAIN VIEW
Practice Address - State:CA
Practice Address - Zip Code:94040-4207
Practice Address - Country:US
Practice Address - Phone:650-967-8787
Practice Address - Fax:650-967-8788
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-12-27
Last Update Date:2009-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory