Imperial Valley Sleep Disorders

Organization Active NPI Sleep Specialist (PhD) · Imperial, CA

NPI 1154594471 · NPPES record last updated Apr 8, 2008

Key facts

NPI
1154594471
Entity type
Organization (NPI type 2)
Primary specialty
Sleep Specialist (PhD) 173F00000X
License
393108 (CA)
Legal business name
IMPERIAL VALLEY SLEEP DISORDERS
Practice address
679 Baywood St
Imperial, CA 92251-8915
Phone
(760) 352-0500
Fax
(760) 352-0579
NPI assigned
Apr 8, 2008
Organization subpart
No

Authorized official

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

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Sleep Specialist (PhD)
Group: 193400000X SINGLE SPECIALTY GROUP
173F00000X 393108 CA Yes

Addresses

Primary practice location

679 Baywood St
Imperial, CA 92251-8915

Mailing address

PO Box 36
El Centro, CA 92244-0036
Phone (760) 352-0500

Other providers in Imperial, CA

All providers in Imperial, CA · Sleep Specialist (PhD) in California

Sources for this page

Verify at the official NPI Registry.