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
6215 FERRIS SQ, SUITE 120, SAN DIEGO, CA 92121-3283
(877) 775-3377
(877) 855-6227
Mailing address
17835 VENTURA BLVD, SUITE 300, ENCINO, CA 91316-3634
(877) 775-3377
(877) 855-6227
Taxonomy
Speciality
Code
Description
License number
State
261QS1200X
Sleep Disorder Diagnostic Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
HC264A
MEDICARE PTAN
CA
Enumeration date
02/17/2012
Last updated
07/21/2022
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