Organization
GATEWAY SLEEP LABS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID THOMAS PISARRA (DIRECTOR)
(310) 666-9852
Entity
Organization
Contact information
Practice address
12825 VENTURA BLVD NO 529, STUDIO CITY, CA 91604-2368
(818) 623-8590
(818) 623-8976
Mailing address
1305 PICO BLVD., SANTA MONICA, CA 90405-1553
(818) 623-8590
(818) 623-8976
Taxonomy
Speciality
Code
Description
License number
State
293D00000X
Physiological Laboratory
Primary
—
—
Other
Enumeration date
01/31/2007
Last updated
10/07/2007
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