Organization
PACIFIC SLEEP MEDICINE, A MEDICAL CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SANDI KEMPER (CONTRACTING)
(909) 201-1725
Entity
Organization
Contact information
Practice address
1135 S SUNSET AVE, SUITE 307, WEST COVINA, CA 91790-3937
(626) 480-0033
(626) 480-0053
Mailing address
104 E OLIVE AVE, 104, REDLANDS, CA 92373-5255
(909) 793-9190
(909) 793-9770
Taxonomy
Speciality
Code
Description
License number
State
261QS1200X
Sleep Disorder Diagnostic Clinic/Center
Primary
—
—
Other
Enumeration date
10/28/2010
Last updated
10/28/2010
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