Organization · NPI-2

Resetsleepcom INC

Clinic/Center, Sleep Disorder Diagnostic · Poway, CA

NPI number1346675618
StatusActive
Last updated in NPPESSep 5, 2013

Details

NPI
1346675618
Entity type
Organization (NPI-2)
Legal business name
Resetsleepcom INC
Organization subpart
No
Enumeration date
Sep 5, 2013
Last updated
Sep 5, 2013

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261QS1200X Clinic/Center, Sleep Disorder Diagnostic––Yes

Practice location

15644 Pomerado Rd
Suite 200
Poway, CA 92064-2400

Phone 858-451-1936 · Fax 858-451-1917

Mailing address

15644 Pomerado Rd
Suite 200
Poway, CA 92064-2400

Phone 858-451-1936 · Fax 858-451-1917

Authorized official

Alan Wayne Clark
President
8584511936

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