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Organization

MAISON DIAGNOSTICS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. BAPI S MOHANTY (PRESIDENT)
(714) 396-8446
Entity
Organization

Contact information

Practice address
1515 S SUNKIST ST, SUITE G, ANAHEIM, CA 92806-5808
(714) 396-8446
Mailing address
1515 S SUNKIST ST, SUITE G, ANAHEIM, CA 92806-5808
(714) 396-8446

Taxonomy

Speciality
Code
Description
License number
State
173F00000X
Sleep Specialist (PhD)
261QS1200X
Sleep Disorder Diagnostic Clinic/Center
Primary

Other

Enumeration date
09/23/2010
Last updated
09/23/2010
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