Organization
HOME DIAGNOSTIC MANAGEMENT SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MANUEL FUENTES (OWNER)
(310) 870-9652
Entity
Organization
Contact information
Practice address
2785 PACIFIC COAST HWY STE E197, TORRANCE, CA 90505-7066
(310) 870-9652
(855) 486-9390
Mailing address
2785 PACIFIC COAST HWY STE E197, TORRANCE, CA 90505-7066
(310) 870-9652
(855) 486-9390
Taxonomy
Speciality
Code
Description
License number
State
261QS1200X
Sleep Disorder Diagnostic Clinic/Center
Primary
—
—
Other
Enumeration date
07/25/2014
Last updated
12/14/2022
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