Organization Name: | GREATER CORONA SLEEP DIAGNOSTIC CENTER |
NPI Number: | 1033362322 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | CHASITY A TESTA (BILLER) |
Mailing Address: | 341 Magnolia Ave Ste 203 Corona |
State: | CA US |
Postal Code: | 928793332 |
Phone Number: | 9517356856 |
Fax Number: | |
NPI Enumeration Date: | 10/30/2008 |
NPI Last Update Date: | 10/30/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QS1200X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Sleep Disorder Diagnostic |
Taxonomy Definition: |