Promo Call Diagnostic Inc

Primary specialty

Sleep Disorder Diagnostic Clinic/CenterTaxonomy code 261QS1200X

Legal business name

PROMO CALL DIAGNOSTIC INC

Practice address

10900 Warner Ave Ste 124
Fountain Valley, CA 92708-3846

Phone

(310) 590-5970

Fax

(714) 276-0552

NPI assigned

Dec 26, 2018

Last updated

Dec 26, 2018By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Farah Motamedi

Title

Ceo

Phone

(310) 590-5970

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1545782400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1545782400000",
    "number": "1265904569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10900 WARNER AVE STE 124",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927083846",
            "telephone_number": "310-590-5970",
            "fax_number": "714-276-0552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10900 WARNER AVE STE 124",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927083846",
            "telephone_number": "310-590-5970",
            "fax_number": "714-276-0552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROMO CALL DIAGNOSTIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-12-26",
        "last_updated": "2018-12-26",
        "status": "A",
        "authorized_official_last_name": "MOTAMEDI",
        "authorized_official_first_name": "FARAH",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "310-590-5970"
    },
    "taxonomies": [
        {
            "code": "261QS1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Sleep Disorder Diagnostic",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Sleep Disorder Diagnostic Clinic/Center in Fountain Valley, CA
• Providers in Fountain Valley, CA by specialty
• Sleep Disorder Diagnostic Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.