Provider Demographics
NPI:1700247871
Name:NEUROSLEEP SOLUTIONS
Entity Type:Organization
Organization Name:NEUROSLEEP SOLUTIONS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CHAT
Authorized Official - Middle Name:T
Authorized Official - Last Name:LUPIA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:310-445-3900
Mailing Address - Street 1:11704 WILSHIRE BLVD
Mailing Address - Street 2:SUITE 210
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90025-1507
Mailing Address - Country:US
Mailing Address - Phone:310-445-3900
Mailing Address - Fax:310-943-2548
Practice Address - Street 1:11704 WILSHIRE BLVD
Practice Address - Street 2:SUITE 210
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90025-1507
Practice Address - Country:US
Practice Address - Phone:310-445-3900
Practice Address - Fax:310-943-2548
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-03-16
Last Update Date:2016-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RS0012XAllopathic & Osteopathic PhysiciansInternal MedicineSleep MedicineGroup - Multi-Specialty
No207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary DiseaseGroup - Multi-Specialty