| NPI | 1306878905 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIAN FARLEY Director Of Finance/ Operations 760-758-8749 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 261QS1200X Clinic/Center, Sleep Disorder Diagnostic (Licence: WA BL009364) |
| Enumeration Date | 2006-07-06 |
| Last Update Date | 2025-04-30 |