Organization
CORPMED, LLC
Active
Other names
Sleep Enhancement Organization
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KEVIN PATRICK BYRNE MD, MPH (PRESIDENT)
(858) 472-6632
Entity
Organization
Contact information
Practice address
12073 WORLD TRADE DR, #3, SAN DIEGO, CA 92128-4391
(858) 472-6632
(858) 613-0524
Mailing address
12073 WORLD TRADE DR, #3, SAN DIEGO, CA 92128-4391
(858) 472-6632
(858) 613-0524
Taxonomy
Speciality
Code
Description
License number
State
207QS1201X
Sleep Medicine (Family Medicine) Physician
Primary
C51555
CA
Other
Enumeration date
09/02/2009
Last updated
10/26/2009
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