Provider Demographics
NPI:1982752515
Name:SLEEP CENTER ORANGE COUNTY, INC
Entity Type:Organization
Organization Name:SLEEP CENTER ORANGE COUNTY, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:MRS
Authorized Official - First Name:JANETTE
Authorized Official - Middle Name:S
Authorized Official - Last Name:FLEMING
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:949-679-5510
Mailing Address - Street 1:4980 BARRANCA PKWY STE 170
Mailing Address - Street 2:
Mailing Address - City:IRVINE
Mailing Address - State:CA
Mailing Address - Zip Code:92604-8652
Mailing Address - Country:US
Mailing Address - Phone:949-679-5510
Mailing Address - Fax:949-679-1080
Practice Address - Street 1:4980 BARRANCA PKWY STE 170
Practice Address - Street 2:
Practice Address - City:IRVINE
Practice Address - State:CA
Practice Address - Zip Code:92604-8652
Practice Address - Country:US
Practice Address - Phone:949-679-5510
Practice Address - Fax:949-679-1080
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-08
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA70474174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAZZZ66221ZOtherBLUE SHIELD NUMBER
CA=========OtherTAX ID
CAZZZ66221ZOtherBLUE SHIELD NUMBER