Organization
LUCID SLEEP INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MIKAEL ENEVOLDSEN RPSGT (CEO)
(877) 995-8243
Entity
Organization
Contact information
Practice address
17497 MAIN ST, HESPERIA, CA 92345-6268
(877) 995-8243
(877) 995-8253
Mailing address
1760 MONROVIA AVE STE C6, COSTA MESA, CA 92627-4418
(877) 995-8243
(877) 995-8253
Taxonomy
Speciality
Code
Description
License number
State
261QS1200X
Sleep Disorder Diagnostic Clinic/Center
Primary
2558471
CA
Other
Enumeration date
08/25/2006
Last updated
08/22/2020
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