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1255449369 NPI number — WEST COAST SLEEP DIAGNOSTICS

NPI Number: 1255449369
Health Care Provider/Practitioner: WEST COAST SLEEP DIAGNOSTICS

Information about “1255449369” NPI (WEST COAST SLEEP DIAGNOSTICS) exists in 1255449369 in HTML format HTML  |  1255449369 in plain Text format TXT  |  1255449369 in PDF (Portable Document Format) PDF  |  1255449369 in an XML format XML  formats.

NPI Number : 1255449369 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1255449369",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "WEST COAST SLEEP DIAGNOSTICS",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "28991 OLD TOWN FRONT ST",
    "SecondLineMailingAddress": "SUITE 107",
    "MailingAddressCityName": "TEMECULA",
    "MailingAddressStateName": "CA",
    "MailingAddressPostalCode": "92590-5803",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "951-693-4678",
    "MailingAddressFaxNumber": "951-693-0870",
    "FirstLinePracticeLocationAddress": "28991 OLD TOWN FRONT ST",
    "SecondLinePracticeLocationAddress": "SUITE 107",
    "PracticeLocationAddressCityName": "TEMECULA",
    "PracticeLocationAddressStateName": "CA",
    "PracticeLocationAddressPostalCode": "92590-5803",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "951-693-4678",
    "PracticeLocationAddressFaxNumber": "951-693-0870",
    "EnumerationDate": "08/28/2006",
    "LastUpdateDate": "04/02/2010",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "CHASTAIN",
    "AuthorizedOfficialFirstName": "CHRISTOPHER",
    "AuthorizedOfficialMiddleName": "JOHN",
    "AuthorizedOfficialTitle": "PRESIDENT",
    "AuthorizedOfficialNamePrefix": "MR.",
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "RPSGT",
    "AuthorizedOfficialTelephoneNumber": "951-693-4678",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "261QS1200X",
        "TaxonomyName": "Sleep Disorder Diagnostic Clinic/Center",
        "LicenseNumber": null,
        "LicenseNumberStateCode": null,
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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