Provider Demographics
NPI:1811273683
Name:SLEEP SCIENCE PARTNERS, INC.
Entity type:Organization
Organization Name:SLEEP SCIENCE PARTNERS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER, CLINICAL OPERATIONS
Authorized Official - Prefix:
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:GUSTAV
Authorized Official - Last Name:JOHNSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:415-602-9198
Mailing Address - Street 1:900 LARKSPUR LANDING CIR
Mailing Address - Street 2:SUITE 207
Mailing Address - City:LARKSPUR
Mailing Address - State:CA
Mailing Address - Zip Code:94939-1757
Mailing Address - Country:US
Mailing Address - Phone:415-484-1696
Mailing Address - Fax:415-925-1575
Practice Address - Street 1:900 LARKSPUR LANDING CIR
Practice Address - Street 2:SUITE 207
Practice Address - City:LARKSPUR
Practice Address - State:CA
Practice Address - Zip Code:94939-1757
Practice Address - Country:US
Practice Address - Phone:415-484-1696
Practice Address - Fax:415-925-1575
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-10-25
Last Update Date:2011-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QS1200XAmbulatory Health Care FacilitiesClinic/CenterSleep Disorder Diagnostic