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Advanced Sleep Medicine Services, INC.

Clinic/Center, Sleep Disorder Diagnostic in Ridgecrest, CA. Organization (NPI-2).

NPI number1912499484
StatusActive
Last updated in NPPESMay 31, 2018

Details

NPI
1912499484
Entity type
Organization (NPI-2)
Legal business name
Advanced Sleep Medicine Services, INC.
Organization subpart
No
Enumeration date
May 31, 2018
Last updated
May 31, 2018

Taxonomy and licenses

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

Practice location

730 N Norma St Ste C
Ridgecrest, CA 93555-3590

Phone 877-775-3377 · Fax 877-855-6227

Mailing address

17835 Ventura Blvd Ste 300
Encino, CA 91316-3677

Phone 877-775-3377 · Fax 877-855-6227

Authorized official

Kermit Ray Newman
Ceo
3108890187

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