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Organization

COASTAL SLEEP AND DIAGNOSTIC CENTER OF ORANGE LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. BRYAN JORDAN (PRESIDENT)
(714) 790-4070
Entity
Organization

Contact information

Practice address
805 W LA VETA AVE STE 107, ORANGE, CA 92868-3928
(714) 790-4070
Mailing address
805 W LA VETA AVE STE 107, ORANGE, CA 92868-3928

Taxonomy

Speciality
Code
Description
License number
State
261QS1200X
Sleep Disorder Diagnostic Clinic/Center
Primary

Other

Enumeration date
03/04/2019
Last updated
04/25/2023
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