Provider Demographics
NPI:1376558254
Name:SANDMAN TECHNOLOGIES,INC
Entity type:Organization
Organization Name:SANDMAN TECHNOLOGIES,INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:MR
Authorized Official - First Name:ALBERT
Authorized Official - Middle Name:PETER
Authorized Official - Last Name:BENSUSEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:661-395-0471
Mailing Address - Street 1:2030 TRUXTUN AVE
Mailing Address - Street 2:
Mailing Address - City:BAKERSFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:93301-5013
Mailing Address - Country:US
Mailing Address - Phone:661-395-0471
Mailing Address - Fax:661-395-0433
Practice Address - Street 1:2030 TRUXTUN AVE
Practice Address - Street 2:
Practice Address - City:BAKERSFIELD
Practice Address - State:CA
Practice Address - Zip Code:93301-5013
Practice Address - Country:US
Practice Address - Phone:661-395-0471
Practice Address - Fax:661-395-0433
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-29
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA0600059197261QS1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QS1200XAmbulatory Health Care FacilitiesClinic/CenterSleep Disorder Diagnostic