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 |