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Organization

OPTIMAL SLEEP AND WEIGHT LOSS CLINIC, PLLC

Active
Other names
UNIQUE SLEEP DISORDER AND WEIGHT LOSS CLINIC, PLLC
Organization subpart
No

Provider details

NPI number
Authorized official
PASCAL NGONGMON MD (MANAGER)
(703) 955-5355
Entity
Organization

Contact information

Practice address
13000 HARBOR CENTER DR STE 212, WOODBRIDGE, VA 22192-2847
(703) 955-5355
(703) 955-5348
Mailing address
13 CARROLL DR, STAFFORD, VA 22554-5340
(703) 955-5355

Taxonomy

Speciality
Code
Description
License number
State
207RS0012X
Sleep Medicine (Internal Medicine) Physician
Primary
261QS1200X
Sleep Disorder Diagnostic Clinic/Center

Other

Enumeration date
03/17/2023
Last updated
12/22/2025
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