Organization
NEW MILLENNIUM DIAGNOSTICS, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
REINALDO A BINNS RPSG T (CEO)
(949) 598-4140
Entity
Organization
Contact information
Practice address
24953 PASEO DE VALENCIA STE 20A BLDG A, LAGUNA HILLS, CA 92653-4338
(949) 598-4140
(949) 598-4145
Mailing address
24953 PASEO DE VALENCIA STE 20A BLDG A, LAGUNA HILLS, CA 92653-4338
(949) 598-4140
(949) 598-4145
Taxonomy
Speciality
Code
Description
License number
State
261QS1200X
Sleep Disorder Diagnostic Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ZZZ58298Z
BLUE SHIELD PROVIDER ID
CA
Enumeration date
10/25/2006
Last updated
08/22/2020
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