| NPI | 1245492172 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELAINE RUSSO GREGORY Owner 760-497-5089 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QS1200X Clinic/Center, Sleep Disorder Diagnostic |
| Additional Taxonomies | 293D00000X Physiological Laboratory |
| Enumeration Date | 2008-07-01 |
| Last Update Date | 2008-07-01 |