Provider Demographics
NPI:1255723581
Name:INTEGRATIVE SLEEP CENTER INC
Entity type:Organization
Organization Name:INTEGRATIVE SLEEP CENTER INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:A
Authorized Official - Last Name:SUE
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:818-246-1825
Mailing Address - Street 1:435 ARDEN AVENUE
Mailing Address - Street 2:SUITE# 570
Mailing Address - City:GLENDALE
Mailing Address - State:CA
Mailing Address - Zip Code:91203-1143
Mailing Address - Country:US
Mailing Address - Phone:818-246-1825
Mailing Address - Fax:818-243-6168
Practice Address - Street 1:435 ARDEN AVENUE
Practice Address - Street 2:SUITE# 570
Practice Address - City:GLENDALE
Practice Address - State:CA
Practice Address - Zip Code:91203-1143
Practice Address - Country:US
Practice Address - Phone:818-246-1825
Practice Address - Fax:818-243-6168
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-02-24
Last Update Date:2021-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment