| NPI | 1114592979 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JORGE MONTES Owner/President 657-247-4581 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QS1200X Clinic/Center, Sleep Disorder Diagnostic |
| Enumeration Date | 2021-05-24 |
| Last Update Date | 2021-05-24 |