Provider Demographics
NPI:1730227588
Name:LA SLEEP MED CENTER
Entity type:Organization
Organization Name:LA SLEEP MED CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:A
Authorized Official - Last Name:WALKER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:559-776-1025
Mailing Address - Street 1:950 E DOVLEN PL STE B
Mailing Address - Street 2:
Mailing Address - City:CARSON
Mailing Address - State:CA
Mailing Address - Zip Code:90746-3450
Mailing Address - Country:US
Mailing Address - Phone:310-516-8968
Mailing Address - Fax:310-516-0543
Practice Address - Street 1:950 E DOVLEN PL STE B
Practice Address - Street 2:
Practice Address - City:CARSON
Practice Address - State:CA
Practice Address - Zip Code:90746-3450
Practice Address - Country:US
Practice Address - Phone:310-516-8968
Practice Address - Fax:310-516-0543
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-02
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory