Organization
BEVERLYMEDICAL SLEEP CENTER & NEURODIAGNOSTIC, INC
Active
Other names
Beverly Medical Sleep Center Corp.
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JACK GEOULA M.D. (CHIEF EXECUTIVE OFFICER)
(310) 449-4600
Entity
Organization
Contact information
Practice address
2730 WILSHIRE BLVD, SUITE 110, SANTA MONICA, CA 90403-4743
(310) 449-4600
(310) 449-4699
Mailing address
2730 WILSHIRE BLVD, SUITE 110, SANTA MONICA, CA 90403-4743
(310) 449-4600
(310) 449-4699
Taxonomy
Speciality
Code
Description
License number
State
261QS1200X
Sleep Disorder Diagnostic Clinic/Center
Primary
39187
CA
Other
Enumeration date
09/02/2009
Last updated
09/02/2009
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