| NPI | 1003290040 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN KOOSTRA Partner 831-920-1411 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QS1200X Clinic/Center, Sleep Disorder Diagnostic (Licence: CA 261QS12000X) |
| Enumeration Date | 2015-07-18 |
| Last Update Date | 2015-07-30 |