MEDICARE: CYRUS NUMAN OZDALGA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	227900000X	Registered Respiratory Therapist	RCP36063	CA

General Provider Information

NPI Number	:	1508248485
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CYRUS NUMAN OZDALGA

Provider Business Mailing Address
First Line	:	1140 CASTRO ST APT 24
Second Line	:
City	:	MOUNTAIN VIEW
State	:	CA
Zip	:	94040-2545
Country	:	US
Telephone Number	:	408-313-8959
Fax Number	:

Provider Business Practice Location Address
First Line	:	1140 CASTRO ST APT 24
Second Line	:
City	:	MOUNTAIN VIEW
State	:	CA
Zip	:	94040-2545
Country	:	US
Telephone Number	:	408-313-8959
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/26/2015
Last Update Date	:	06/26/2015

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