Good Night Sleep Clinic, Inc

Primary specialty

Sleep Medicine (Psychiatry & Neurology) PhysicianTaxonomy code 2084S0012X

License

A49011 Issued in CA

Legal business name

GOOD NIGHT SLEEP CLINIC, INC

Practice address

12555 Garden Grove Blvd
Suite 307
Garden Grove, CA 92843-1902

Phone

(714) 537-2300

Fax

(714) 537-4300

NPI assigned

Jan 4, 2007

Organization subpart

No

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

Authorized official

Name

James J Kim, M.D.

Title

President

Phone

(714) 537-2300

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1167868800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1312934400000",
    "number": "1942357579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12555 GARDEN GROVE BLVD",
            "address_2": "SUITE 307",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928431902",
            "telephone_number": "714-537-2300",
            "fax_number": "714-537-4300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12555 GARDEN GROVE BLVD",
            "address_2": "SUITE 307",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928431902",
            "telephone_number": "714-537-2300",
            "fax_number": "714-537-4300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOOD NIGHT SLEEP CLINIC, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-04",
        "last_updated": "2011-08-10",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "714-537-2300",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084S0012X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Sleep Medicine",
            "state": "CA",
            "license": "A49011",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Sleep Medicine (Psychiatry & Neurology) Physician in Garden Grove, CA
• Providers in Garden Grove, CA by specialty
• Sleep Medicine (Psychiatry & Neurology) Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2011; 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.