Provider Demographics
NPI:1457622409
Name:ADAPTABLE SLEEP SOLUTIONS
Entity Type:Organization
Organization Name:ADAPTABLE SLEEP SOLUTIONS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:NICHOLAS
Authorized Official - Last Name:HALL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:323-300-4555
Mailing Address - Street 1:6311 VAN NUYS BLVD
Mailing Address - Street 2:#454
Mailing Address - City:VAN NUYS
Mailing Address - State:CA
Mailing Address - Zip Code:91401-2611
Mailing Address - Country:US
Mailing Address - Phone:323-300-4555
Mailing Address - Fax:888-596-8334
Practice Address - Street 1:6311 VAN NUYS BLVD
Practice Address - Street 2:#454
Practice Address - City:VAN NUYS
Practice Address - State:CA
Practice Address - Zip Code:91401-2611
Practice Address - Country:US
Practice Address - Phone:323-300-4555
Practice Address - Fax:888-596-8334
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-01-23
Last Update Date:2012-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QS1200XAmbulatory Health Care FacilitiesClinic/CenterSleep Disorder Diagnostic