Organization
PACIFIC SLEEP LAB INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
INCHEL YEAM PHYSICIAN (OWNER/MEDICAL DIRECTOR)
(949) 366-2701
Entity
Organization
Contact information
Practice address
675 CAMINO DE LOS MARES, SUITE 201, SAN CLEMENTE, CA 92673-2835
(949) 366-2701
(949) 429-6918
Mailing address
675 CAMINO DE LOS MARES, SUITE 201, SAN CLEMENTE, CA 92673-2835
(949) 366-2701
(949) 429-6918
Taxonomy
Speciality
Code
Description
License number
State
261QS1200X
Sleep Disorder Diagnostic Clinic/Center
Primary
TG252
CA
Other
Enumeration date
10/30/2007
Last updated
10/30/2007
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