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Organization

PEDIATRIC SLEEP, ADOPTION AND DEVELOPMENT CLINIC, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. GARY STEVEN FELDMAN M.D. (MEDICAL DIRECTOR)
(562) 424-4815
Entity
Organization

Contact information

Practice address
4902 IRVINE CENTER DR STE 104, IRVINE, CA 92604-3334
(949) 446-8990
(949) 446-8535
Mailing address
PO BOX 12315, ORANGE, CA 92859-8315
(562) 424-4815
(562) 424-4708

Taxonomy

Speciality
Code
Description
License number
State
173F00000X
Sleep Specialist (PhD)
207QS1201X
Sleep Medicine (Family Medicine) Physician
Primary
2080P0006X
Developmental - Behavioral Pediatrics Physician
2080S0012X
Pediatric Sleep Medicine Physician

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00A866560
CA
Enumeration date
03/11/2008
Last updated
03/23/2022
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