| Premier Sleep Alliance | |
|
361 E Thousand Oaks Blvd Thousand Oaks CA 91360-5805 | |
| (805) 468-7533 | |
| (805) 497-9914 |
| Full Name | Premier Sleep Alliance |
|---|---|
| Speciality | Dentist |
| Location | 361 E Thousand Oaks Blvd, Thousand Oaks, California |
| Authorized Official Name and Position | Dar Radfar (OWNER) |
| Authorized Official Contact | 8054687533 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Premier Sleep Alliance 361 E Thousand Oaks Blvd Thousand Oaks CA 91360-5805 Ph: (805) 468-7533 | Premier Sleep Alliance 361 E Thousand Oaks Blvd Thousand Oaks CA 91360-5805 Ph: (805) 468-7533 |
| NPI Number | 1952714966 |
|---|---|
| Provider Enumeration Date | 06/06/2014 |
| Last Update Date | 06/06/2014 |
| Medicare PECOS PAC ID | 9335367689 |
|---|---|
| Medicare Enrollment ID | O20140827002384 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952714966 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 49978 (California) | Primary |
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