South Coast Sleep Solutions LLC
Clinic/Center, Sleep Disorder Diagnostic in Trabuco Canyon, CA. Organization (NPI-2).
NPI number1154919884
StatusActive
Last updated in NPPESJan 7, 2021
Details
- NPI
- 1154919884
- Entity type
- Organization (NPI-2)
- Legal business name
- South Coast Sleep Solutions LLC
- Organization subpart
- No
- Enumeration date
- Jan 7, 2021
- Certification date
- Dec 29, 2020
- Last updated
- Jan 7, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QS1200X | Clinic/Center, Sleep Disorder Diagnostic | – | – | Yes |
Practice location
32131 Fall River RdTrabuco Canyon, CA 92679-3316
Phone 949-317-6663 · Fax 877-935-8609
Mailing address
32131 Fall River RdTrabuco Canyon, CA 92679-3316
Phone 949-317-6663 · Fax 877-935-8609
Authorized official
Michelle Marie Lucus
Owner
9493176663
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