Organization Name: | CGC SLEEP LAB LLC |
NPI Number: | 1811125396 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | LEONARD JOAQUIN SANTOS (PRESIDENT) |
Mailing Address: | 43920 Margarita Rd Suite G Temecula |
State: | CA US |
Postal Code: | 925922736 |
Phone Number: | 9514025076 |
Fax Number: | 9513024890 |
NPI Enumeration Date: | 06/23/2009 |
NPI Last Update Date: | 06/23/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332B00000X |
License Number: | 200908210422 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | CA |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
Taxonomy Specialization: | |
Taxonomy Definition: | A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient |