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Beverlymedical Sleep Center & Neurodiagnostic, INC

Clinic/Center, Sleep Disorder Diagnostic in Santa Monica, CA. Organization (NPI-2).

NPI number1245463546
StatusActive
Last updated in NPPESSep 2, 2009

Details

NPI
1245463546
Entity type
Organization (NPI-2)
Legal business name
Beverlymedical Sleep Center & Neurodiagnostic, INC
Organization subpart
No
Enumeration date
Sep 2, 2009
Last updated
Sep 2, 2009

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261QS1200X Clinic/Center, Sleep Disorder Diagnostic39187CAYes

Other names

  • Beverly Medical Sleep Center Corp. (Former Legal Business Name)

Practice location

2730 Wilshire Blvd
Suite 110
Santa Monica, CA 90403-4743

Phone 310-449-4600 · Fax 310-449-4699

Mailing address

2730 Wilshire Blvd
Suite 110
Santa Monica, CA 90403-4743

Phone 310-449-4600 · Fax 310-449-4699

Authorized official

Jack Geoula
Chief Executive Officer
3104494600

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