Provider Demographics
NPI:1730435579
Name:COMPLETE SLEEP INC
Entity type:Organization
Organization Name:COMPLETE SLEEP INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:HONG WAI
Authorized Official - Last Name:TUNG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:310-623-1828
Mailing Address - Street 1:3515 JACK NORTHROP AVE
Mailing Address - Street 2:
Mailing Address - City:HAWTHORNE
Mailing Address - State:CA
Mailing Address - Zip Code:90250-4433
Mailing Address - Country:US
Mailing Address - Phone:310-623-1828
Mailing Address - Fax:310-623-1829
Practice Address - Street 1:3515 JACK NORTHROP AVE
Practice Address - Street 2:
Practice Address - City:HAWTHORNE
Practice Address - State:CA
Practice Address - Zip Code:90250-4433
Practice Address - Country:US
Practice Address - Phone:310-623-1828
Practice Address - Fax:310-623-1829
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-07-31
Last Update Date:2012-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QS1200XAmbulatory Health Care FacilitiesClinic/CenterSleep Disorder Diagnostic