Organization
PULMONARY FUNCTION TESTING & DIAGNOSTICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. THOMAS DAVID CLEVENGER RRT (OWNER)
(949) 444-6917
Entity
Organization
Contact information
Practice address
27821 BARBATE, MISSION VIEJO, CA 92692-1230
(949) 444-6917
(949) 421-3196
Mailing address
27821 BARBATE, MISSION VIEJO, CA 92692-1230
(949) 444-6917
(949) 421-3196
Taxonomy
Speciality
Code
Description
License number
State
2279P1006X
Pulmonary Function Technologist Registered Respiratory Therapist
Primary
22729
CA
Other
Enumeration date
07/10/2017
Last updated
07/21/2022
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