Pacific Sleep Lab Inc

Primary specialty

Sleep Disorder Diagnostic Clinic/CenterTaxonomy code 261QS1200X

License

TG252 Issued in CA

Legal business name

PACIFIC SLEEP LAB INC

Practice address

675 Camino de Los Mares
Suite 201
San Clemente, CA 92673-2835

Phone

(949) 366-2701

Fax

(949) 429-6918

NPI assigned

Oct 30, 2007

Organization subpart

No

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

Authorized official

Name

Inchel Yeam, PHYSICIAN

Title

Owner/Medical Director

Phone

(949) 366-2701

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1193702400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193702400000",
    "number": "1508045295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "675 CAMINO DE LOS MARES",
            "address_2": "SUITE 201",
            "city": "SAN CLEMENTE",
            "state": "CA",
            "postal_code": "926732835",
            "telephone_number": "949-366-2701",
            "fax_number": "949-429-6918"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "675 CAMINO DE LOS MARES",
            "address_2": "SUITE 201",
            "city": "SAN CLEMENTE",
            "state": "CA",
            "postal_code": "926732835",
            "telephone_number": "949-366-2701",
            "fax_number": "949-429-6918"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PACIFIC SLEEP LAB INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-30",
        "last_updated": "2007-10-30",
        "status": "A",
        "authorized_official_last_name": "YEAM",
        "authorized_official_first_name": "INCHEL",
        "authorized_official_title_or_position": "OWNER/MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "949-366-2701",
        "authorized_official_credential": "PHYSICIAN"
    },
    "taxonomies": [
        {
            "code": "261QS1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Sleep Disorder Diagnostic",
            "state": "CA",
            "license": "TG252",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pacific Coast Detox LLC
• Pacific Hills Treatment Centers, Inc.
• Pacific Medical California LLC
• Pacific Medical LLC
• Pacific Palms Recovery, LLC.
• Pacific Sleep Labs, Inc.
• Pacificoast Ambulatory Surgicenter, LLC.
• Khrystianne Morita Padua, ATC
• Maria Page, APCC
• Painmd Medical Associates Inc

• Sleep Disorder Diagnostic Clinic/Center in San Clemente, CA
• Providers in San Clemente, 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 Oct 30, 2007; 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.