Organization
PACIFIC SLEEP MEDICINE A MEDICAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STUART J MENN M.D. (OWNER)
(760) 325-4100
Entity
Organization
Contact information
Practice address
555 E TACHEVAH DR STE 1E204, PALM SPRINGS, CA 92262-5733
(760) 325-4100
(760) 778-6785
Mailing address
555 E TACHEVAH DR STE 1E204, PALM SPRINGS, CA 92262-5733
(760) 325-4100
(760) 778-6785
Taxonomy
Speciality
Code
Description
License number
State
261QS1200X
Sleep Disorder Diagnostic Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
260037410
MEDICARE RAILROAD
CA
Enumeration date
11/03/2006
Last updated
05/18/2020
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