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Organization
SAN GABRIEL VALLEY SLEEP LAB, LLC
Active
Organization
SAN GABRIEL VALLEY SLEEP LAB, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CLYDE J DOS SANTOS M.D. (PARTNER)
(714) 772-8282
Entity
Organization
Contact information
Practice address
421 S GLENDORA AVE, SUITE 200, WEST COVINA, CA 91790-3078
(626) 919-3000
Mailing address
421 S GLENDORA AVE, SUITE 200, WEST COVINA, CA 91790-3078
(626) 919-3000
Taxonomy
Speciality
Code
Description
License number
State
261QS1200X
Sleep Disorder Diagnostic Clinic/Center
Primary
A38413
CA
Other
Enumeration date
09/12/2008
Last updated
01/10/2012
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