| Organization Name: | PACIFIC SLEEP CARE AND WELLNESS |
| NPI Number: | 1417030818 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | MONA LIZA M. MANLUTAC (OFFICE MANAGER) |
| Mailing Address: | 209 Manhattan Plaza Route 16 Dededo |
| State: | GU US |
| Postal Code: | 96929 |
| Phone Number: | 6716475477 |
| Fax Number: | 6716466876 |
| NPI Enumeration Date: | 10/23/2006 |
| NPI Last Update Date: | 03/14/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QS1200X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Sleep Disorder Diagnostic |
| Taxonomy Definition: | |