Organization
PACIFIC SLEEP MEDICINE A MEDICAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. STUART J MENN M.D. (OWNER)
(760) 325-4100
Entity
Organization
Contact information
Practice address
1180 N INDIAN CANYON DR STE 304, PALM SPRINGS, CA 92262-4858
(760) 325-4100
(760) 778-6785
Mailing address
1180 N INDIAN CANYON DR STE W304, PALM SPRINGS, CA 92262-4809
(760) 325-4100
(760) 778-6785
Taxonomy
Speciality
Code
Description
License number
State
261QS1200X
Sleep Disorder Diagnostic Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
290014554
MEDICARE RAILROAD
CA
Enumeration date
11/03/2006
Last updated
12/15/2022
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