| Desert Sleep Institute | |
|
46100 Washington St La Quinta CA 92253-2042 | |
| (760) 340-0528 | |
| (760) 674-1590 |
| Full Name | Desert Sleep Institute |
|---|---|
| Speciality | Clinic/Center |
| Location | 46100 Washington St, La Quinta, California |
| Authorized Official Name and Position | Antoine Jean Elhajjar (CEO) |
| Authorized Official Contact | 7603400528 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Desert Sleep Institute 46100 Washington St La Quinta CA 92253-2042 Ph: (760) 340-0528 | Desert Sleep Institute 46100 Washington St La Quinta CA 92253-2042 Ph: (760) 340-0528 |
| NPI Number | 1790806370 |
|---|---|
| Provider Enumeration Date | 04/02/2007 |
| Last Update Date | 07/15/2020 |
| Certification Date | 07/15/2020 |
| Medicare PECOS PAC ID | 9537265533 |
|---|---|
| Medicare Enrollment ID | O20070508000714 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790806370 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Secondary |
| 261QS1200X | Clinic/center - Sleep Disorder Diagnostic | A53481 (California) | Primary |
| Provider Name | Antoine J Elhajjar |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1558328203 PECOS PAC ID: 5597655381 Enrollment ID: I20040316001316 |
| Provider Name | Abdi Morovati |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1417000563 PECOS PAC ID: 9335138502 Enrollment ID: I20151119001098 |
| Provider Name | Alexander G Gevorgyan |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1346504628 PECOS PAC ID: 6709780026 Enrollment ID: I20170202002602 |
| Provider Name | Diana Patricia Londono |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1801235700 PECOS PAC ID: 7810218575 Enrollment ID: I20211104001480 |
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