Organization
SERENE SLEEP MANAGEMENT, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LINA KOVALCHUCK (MANAGER)
(949) 480-0150
Entity
Organization
Contact information
Practice address
3500 BARRANCA PKWY, STE 150, IRVINE, CA 92606-8226
(949) 480-0150
(949) 315-3329
Mailing address
8 BLUE PT, ALISO VIEJO, CA 92656-4265
(949) 480-0150
(949) 315-3329
Taxonomy
Speciality
Code
Description
License number
State
261QS1200X
Sleep Disorder Diagnostic Clinic/Center
Primary
00
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00
NA
CA
Enumeration date
06/08/2010
Last updated
06/08/2010
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