# PACIFIC SLEEP MEDICINE SERVICES, INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1508095522
- **Authorized official:** NANCY JOHNSON (CREDENTIALING)
- **Authorized official phone:** (951) 284-5515

## Contact information

- **Practice address:** 555 WASHINGTON ST, SUITE 1037, SAN DIEGO, CA 92103-2289
- **Practice address phone:** (619) 293-0874
- **Practice address fax:** (619) 293-0874
- **Mailing address:** 10532 ACACIA ST, SUITE B-4, RANCHO CUCAMONGA, CA 91730-5446
- **Mailing address phone:** (909) 481-2577
- **Mailing address fax:** (909) 481-2546

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | Yes |

## Other

- **Enumeration date:** 07/12/2009
- **Last updated:** 07/12/2009