Deactivation Date: 3/31/2023
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Medical Art Specialist/Technologist |
246ZA2600X | |||
EEG |
246ZE0500X |
| NPI Number | 1568954584 |
| LBN Legal business name | SOUTH BAY SLEEP CENTER LLC |
| Authorized official | STEVE ROPHAIL - (MANAGING MEMBER) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 06/05/2018 |
| Last updated | 06/05/2018 - About 8 years ago |
| Identifiers | n/a |
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SOUTH BAY SLEEP CENTER LLC
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