CGC Sleep Lab LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

200908210422 Issued in CA

Legal business name

CGC SLEEP LAB LLC

Practice address

43920 Margarita Rd
Suite G
Temecula, CA 92592-2736

Phone

(951) 402-5076

Fax

(951) 302-4890

NPI assigned

Jun 23, 2009

Organization subpart

No

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

Authorized official

Name

Mr. Leonard Joaquin Santos

Title

President

Phone

(951) 402-5076

Specialties & licenses 2

Addresses

Other names 1

• Come Get Comfortable Sleep Lab Other name

Locations

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

{
    "created_epoch": "1245715200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1245715200000",
    "number": "1811125396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43920 MARGARITA RD",
            "address_2": "SUITE G",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925922736",
            "telephone_number": "951-402-5076",
            "fax_number": "951-302-4890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "43920 MARGARITA RD",
            "address_2": "SUITE G",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925922736",
            "telephone_number": "951-402-5076",
            "fax_number": "951-302-4890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CGC SLEEP LAB LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-23",
        "last_updated": "2009-06-23",
        "status": "A",
        "authorized_official_last_name": "SANTOS",
        "authorized_official_first_name": "LEONARD",
        "authorized_official_middle_name": "JOAQUIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "951-402-5076",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "CA",
            "license": "200908210422",
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "CA",
            "license": "200908210422",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Come Get Comfortable Sleep Lab",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Clinical Medical Laboratory in Temecula, CA
• Providers in Temecula, CA by specialty
• Clinical Medical Laboratory in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2009; 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.