Organization
PACIFIC SLEEP MEDICINE, A MEDICAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. NANCY M JOHNSON (CREDENTIALING)
(909) 481-2577
Entity
Organization
Contact information
Practice address
500 17TH AVE, SUITE A-20, SEATTLE, WA 98122-5711
(206) 386-4744
(206) 215-1135
Mailing address
10532 ACACIA ST, B-4, RANCHO CUCAMONGA, CA 91730-5446
(909) 481-2577
(909) 418-2546
Taxonomy
Speciality
Code
Description
License number
State
261QS1200X
Sleep Disorder Diagnostic Clinic/Center
Primary
—
—
Other
Enumeration date
03/18/2009
Last updated
05/11/2009
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