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General NPI Number Information
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NPI Number | 1336240738
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Entity Type | Organization
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Legal Business Name | SOUTH BAY SLEEP CENTER
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Dates
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Enumeration Date | 09/26/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 23600 TELO AVE STE 150
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City | TORRANCE
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State | CA
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Zip | 90505-4036
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Country | US
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Telephone | 562-325-4507
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Fax | 310-325-9136
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Provider Business Mailing Address
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Address Line | 23600 TELO AVE STE 150
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City | TORRANCE
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State | CA
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Zip | 90505-4036
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Country | US
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Telephone | 562-325-4507
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Fax | 310-325-9136
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. RICHARD MUNOZ SR.
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Credential | CEO
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Telephone | 310-325-4507
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 293D00000X
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Taxonomy Name | Physiological Laboratory
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License Number | BUS0105109
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License Number State | CA
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