NPI 1154594471

Imperial Valley Sleep Disorders

Organisation Sleep Specialist (PhD) Imperial, CA

Practice location

Address: 679 Baywood St, Imperial, CA 92251-8915
Phone: (760) 352-0500
Fax: (760) 352-0579
Mailing address: PO Box 36, El Centro, CA 92244-0036

Authorised official

Name: Jocelyne Banda
Title: Owner/Administrator
Phone: (760) 352-0500

Registered specialties

Sleep Specialist (PhD) Primary

Other Service Providers Taxonomy 173F00000X Licence 393108 (CA)

Other Sleep Specialist, PhD providers in California →

Registry record

NPI: 1154594471
Entity type: Organization
NPI issued: 8 Apr 2008
Record last updated: 8 Apr 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.