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Organization
MOUNTAIN GROUP LLC
Active
Organization
MOUNTAIN GROUP LLC
Active
Other names
Restful Sleep Disorder Center
Organization subpart
No
Provider details
NPI number
Authorized official
JUAN GONZALEZ MANAGER (GENERAL MANAGER)
(818) 415-7254
Entity
Organization
Contact information
Practice address
931 BUENA VISTA ST, SUITE 103, DUARTE, CA 91010-1712
(626) 531-6891
(626) 531-6890
Mailing address
931 BUENA VISTA ST, SUITE 103, DUARTE, CA 91010-1712
(626) 531-6891
(626) 531-6890
Taxonomy
Speciality
Code
Description
License number
State
261QS1200X
Sleep Disorder Diagnostic Clinic/Center
Primary
—
—
Other
Enumeration date
05/05/2013
Last updated
04/13/2021
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