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NPI Code Detail

MEDICARE: PACIFIC SLEEP MEDICINE SERVICES, INC

MEDICARE: PACIFIC SLEEP MEDICINE SERVICES, INC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1332B00000XDurable Medical Equipment & Medical Supplies

General Provider Information

NPI Number : 1508095522
Entity Type Code : Organization
Provider Name (Legal Business Name) : PACIFIC SLEEP MEDICINE SERVICES, INC
Provider Business Mailing Address
First Line : 10532 ACACIA ST
Second Line : SUITE B-4
City : RANCHO CUCAMONGA
State : CA
Zip : 91730-5446
Country : US
Telephone Number : 909-481-2577
Fax Number : 909-481-2546
Provider Business Practice Location Address
First Line : 555 WASHINGTON ST
Second Line : SUITE 1037
City : SAN DIEGO
State : CA
Zip : 92103-2289
Country : US
Telephone Number : 619-293-0874
Fax Number : 619-293-0874
Authorized Official
Title or Position : CREDENTIALING
Name : NANCY JOHNSON
Credential :
Telephone Number : 951-284-5515
Provider Enumeration Date : 07/12/2009
Last Update Date : 07/12/2009

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Directions to “PACIFIC SLEEP MEDICINE SERVICES, INC ” Practice Location

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