| NPI | 1245463546 |
|---|---|
| Former Legal Business Name | BEVERLY MEDICAL SLEEP CENTER CORP. |
| Entity Type | Organization |
| Authorized Contact | JACK GEOULA Chief Executive Officer 310-449-4600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QS1200X Clinic/Center, Sleep Disorder Diagnostic (Licence: CA 39187) |
| Enumeration Date | 2009-09-02 |
| Last Update Date | 2009-09-02 |