Organization
ADVANCED SLEEP MEDICINE SERVICES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KERMIT RAY NEWMAN (CEO/ PRESIDENT)
(877) 775-3377
Entity
Organization
Contact information
Practice address
16260 VENTURA BLVD, SUITE 700, ENCINO, CA 91436-2203
(310) 479-0500
(310) 402-2703
Mailing address
17835 VENTURA BLVD STE 300, ENCINO, CA 91316-3677
(877) 775-3377
(877) 855-6227
Taxonomy
Speciality
Code
Description
License number
State
261QS1200X
Sleep Disorder Diagnostic Clinic/Center
Primary
985348
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00092199
RAIL ROAD MEDICARE
CA
Enumeration date
09/02/2005
Last updated
07/21/2022
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