Healthcare Provider Details

I. General information

NPI: 1164330932
Provider Name (Legal Business Name): PASADENA SLEEP SOLUTIONS OKAMOTO DENTAL OFFICE PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/31/2026
Last Update Date: 09/04/2026
Certification Date: 09/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

70 S LAKE AVE STE 630
PASADENA CA
91101-4918
US

IV. Provider business mailing address

70 S LAKE AVE STE 630
PASADENA CA
91101-4918
US

V. Phone/Fax

Practice location:
  • Phone: 626-818-8120
  • Fax: 626-440-9231
Mailing address:
  • Phone: 626-818-8120
  • Fax: 626-440-9231

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code332BC3200X
TaxonomyCustomized Equipment (DME)
License Number
License Number State

VIII. Authorized Official

Name: GERI LYNN GUNSALUS OKAMOTO
Title or Position: PRESIDENT
Credential: DDS
Phone: 626-818-8120