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General NPI Number Information
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NPI Number | 1265946586
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Entity Type | Organization
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Legal Business Name | CALIFORNIA SLEEP NEUROLOGY ORGANIZATION FOR WELLNESS
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Dates
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Enumeration Date | 11/22/2017
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Last Update Date | 01/15/2025
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Provider Practice Location Address
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Address Line | 535 E MAIN ST STE 113
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City | TUSTIN
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State | CA
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Zip | 92780-4453
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Country | US
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Telephone | 949-466-6055
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Fax |
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Provider Business Mailing Address
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Address Line | 2651 ELM AVE STE 205
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City | LONG BEACH
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State | CA
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Zip | 90806-1638
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | DR. MONIKA GARG MATHUR
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Credential | MD
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Telephone | 734-657-2818
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QU0200X
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Taxonomy Name | Urgent Care Clinic/Center
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License Number |
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License Number State |
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