Organization
JAMELLOW LLC
Active
Other names
West Coast Sleep Centers
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LUDLOW CREARY MD (PARTNER)
(951) 695-9648
Entity
Organization
Contact information
Practice address
1131 E MAIN ST, SUITE 109, TUSTIN, CA 92780-4416
(951) 205-7103
Mailing address
27574 COMMERCE CENTER DR, SUITE 236, TEMECULA, CA 92590-2500
(951) 695-9648
(951) 695-3949
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
C24667
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C24667
MEDICAL LICENSE
CA
Enumeration date
11/20/2006
Last updated
08/22/2020
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