Healthcare Provider Details

I. General information

NPI: 1215722707
Provider Name (Legal Business Name): AIRSHIP ELECTROLYSIS INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/14/2025
Last Update Date: 04/14/2025
Certification Date: 04/14/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3101 TELEGRAPH AVE # 9
BERKELEY CA
94705-1984
US

IV. Provider business mailing address

3101 TELEGRAPH AVE # 9
BERKELEY CA
94705-1984
US

V. Phone/Fax

Practice location:
  • Phone: 510-812-7084
  • Fax:
Mailing address:
  • Phone: 510-812-7084
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License Number
License Number State

VIII. Authorized Official

Name: MR. LEO GOODYEAR
Title or Position: CEO / PRESIDENT
Credential:
Phone: 415-734-0310