# PEDIATRIC SLEEP, ADOPTION AND DEVELOPMENT CLINIC, INC.

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

## Provider details

- **NPI number:** 1740450378
- **Authorized official:** DR. GARY STEVEN FELDMAN M.D. (MEDICAL DIRECTOR)
- **Authorized official phone:** (562) 424-4815

## Contact information

- **Practice address:** 4902 IRVINE CENTER DR STE 104, IRVINE, CA 92604-3334
- **Practice address phone:** (949) 446-8990
- **Practice address fax:** (949) 446-8535
- **Mailing address:** PO BOX 12315, ORANGE, CA 92859-8315
- **Mailing address phone:** (562) 424-4815
- **Mailing address fax:** (562) 424-4708

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 173F00000X | Sleep Specialist (PhD) | — | NULL | — |
| 173F00000X | Sleep Specialist (PhD) | — | — | — |
| 207QS1201X | Sleep Medicine (Family Medicine) Physician | — | NULL | Yes |
| 207QS1201X | Sleep Medicine (Family Medicine) Physician | — | — | Yes |
| 2080P0006X | Developmental - Behavioral Pediatrics Physician | — | NULL | — |
| 2080P0006X | Developmental - Behavioral Pediatrics Physician | — | — | — |
| 2080S0012X | Pediatric Sleep Medicine Physician | — | NULL | — |
| 2080S0012X | Pediatric Sleep Medicine Physician | — | — | — |

## Other

- **Enumeration date:** 03/11/2008
- **Last updated:** 03/23/2022