Provider Demographics
NPI:1215170469
Name:MASTER SLEEP INC.
Entity type:Organization
Organization Name:MASTER SLEEP INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:LUCIEN
Authorized Official - Middle Name:
Authorized Official - Last Name:KROYTOR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-849-6755
Mailing Address - Street 1:4533 VAN NUYS BLVD STE 302
Mailing Address - Street 2:
Mailing Address - City:SHERMAN OAKS
Mailing Address - State:CA
Mailing Address - Zip Code:91403-2950
Mailing Address - Country:US
Mailing Address - Phone:818-849-6755
Mailing Address - Fax:818-849-6754
Practice Address - Street 1:4533 VAN NUYS BLVD STE 302
Practice Address - Street 2:
Practice Address - City:SHERMAN OAKS
Practice Address - State:CA
Practice Address - Zip Code:91403-2950
Practice Address - Country:US
Practice Address - Phone:818-849-6755
Practice Address - Fax:818-849-6754
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-04-16
Last Update Date:2009-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207QS1201XAllopathic & Osteopathic PhysiciansFamily MedicineSleep MedicineGroup - Single Specialty