Healthcare Provider Details

I. General information

NPI: 1922387711
Provider Name (Legal Business Name): PULMONARY & SLEEP DISORDER CONSULTANTS INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/10/2011
Last Update Date: 09/27/2023
Certification Date: 09/27/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

17150 EUCLID ST STE 316
FOUNTAIN VALLEY CA
92708-4092
US

IV. Provider business mailing address

17150 EUCLID ST STE 316
FOUNTAIN VALLEY CA
92708-4092
US

V. Phone/Fax

Practice location:
  • Phone: 714-486-3996
  • Fax: 714-486-2213
Mailing address:
  • Phone: 714-486-3996
  • Fax: 714-486-2213

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RP1001X
TaxonomyPulmonary Disease Physician
License NumberC53870
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code207RS0012X
TaxonomySleep Medicine (Internal Medicine) Physician
License NumberC53870
License Number StateCA
# 3
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberC53870
License Number StateCA
# 4
Primary TaxonomyY
Taxonomy Code2080P0214X
TaxonomyPediatric Pulmonology Physician
License NumberC53870
License Number StateCA
# 5
Primary TaxonomyN
Taxonomy Code2080P0214X
TaxonomyPediatric Pulmonology Physician
License NumberM2070
License Number StateTX
# 6
Primary TaxonomyN
Taxonomy Code2080P0214X
TaxonomyPediatric Pulmonology Physician
License Number
License Number State
# 7
Primary TaxonomyN
Taxonomy Code2080S0012X
TaxonomyPediatric Sleep Medicine Physician
License NumberC53870
License Number StateCA
# 8
Primary TaxonomyN
Taxonomy Code2080S0012X
TaxonomyPediatric Sleep Medicine Physician
License NumberM2070
License Number StateTX
# 9
Primary TaxonomyN
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State
# 10
Primary TaxonomyN
Taxonomy Code261QS1200X
TaxonomySleep Disorder Diagnostic Clinic/Center
License NumberC53870
License Number StateCA

VIII. Authorized Official

Name: DR. JOHN SAITO
Title or Position: PRESIDENT
Credential: MD
Phone: 254-495-0985