| NPI | 1922662527 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VIRGINIA NAVARRO NICOLAS Co Owner 909-335-0335 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QS1200X Clinic/Center, Sleep Disorder Diagnostic |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2019-04-29 |
| Last Update Date | 2019-04-29 |