Serene Sleep Management, LLC

Primary specialty

Sleep Disorder Diagnostic Clinic/CenterTaxonomy code 261QS1200X

License

00 Issued in CA

Legal business name

SERENE SLEEP MANAGEMENT, LLC

Practice address

3500 Barranca Pkwy
Ste 150
Irvine, CA 92606-8226

Phone

(949) 480-0150

Fax

(949) 315-3329

NPI assigned

Jun 8, 2010

Organization subpart

No

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

Authorized official

Name

Ms. Lina Kovalchuck

Title

Manager

Phone

(949) 480-0150

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1275955200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1275955200000",
    "number": "1376863795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 BLUE PT",
            "city": "ALISO VIEJO",
            "state": "CA",
            "postal_code": "926564265",
            "telephone_number": "949-480-0150",
            "fax_number": "949-315-3329"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3500 BARRANCA PKWY",
            "address_2": "STE 150",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926068226",
            "telephone_number": "949-480-0150",
            "fax_number": "949-315-3329"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERENE SLEEP MANAGEMENT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-08",
        "last_updated": "2010-06-08",
        "status": "A",
        "authorized_official_last_name": "KOVALCHUCK",
        "authorized_official_first_name": "LINA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "949-480-0150",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QS1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Sleep Disorder Diagnostic",
            "state": "CA",
            "license": "00",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NA",
            "identifier": "00",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Andy Sepulveda, ATC
• Ahmed A. Serag, M.D., PH.D.
• Randa Serag, M.D.
• Serendipity
• Serene Dental Center
• Serenity Sleep & Neurodiagnostics, Inc
• Grace Love Sergeant
• Jamal Serhan
• Arlene Serna
• Katelyn Serrano

• Sleep Disorder Diagnostic Clinic/Center in Irvine, CA
• Providers in Irvine, 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 Jun 8, 2010; 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.