Provider Demographics
NPI:1053978312
Name:SOMNIA SLEEP SCIENCE & TREATMENT CENTER
Entity type:Organization
Organization Name:SOMNIA SLEEP SCIENCE & TREATMENT CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CFO/OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:MOHAMMAD
Authorized Official - Middle Name:
Authorized Official - Last Name:ALSHABANAT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:747-777-0192
Mailing Address - Street 1:5435 BALBOA BLVD SUITE 100
Mailing Address - Street 2:
Mailing Address - City:ENCINO
Mailing Address - State:CA
Mailing Address - Zip Code:91316
Mailing Address - Country:US
Mailing Address - Phone:810-701-8771
Mailing Address - Fax:818-217-4474
Practice Address - Street 1:5435 BALBOA BLVD SUITE 100
Practice Address - Street 2:
Practice Address - City:ENCINO
Practice Address - State:CA
Practice Address - Zip Code:91316
Practice Address - Country:US
Practice Address - Phone:810-701-8771
Practice Address - Fax:818-217-4474
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-05-22
Last Update Date:2019-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QS1200XAmbulatory Health Care FacilitiesClinic/CenterSleep Disorder Diagnostic