Healthcare Provider Details

I. General information

NPI: 1457730293
Provider Name (Legal Business Name): CPAP EXPERTS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/26/2015
Last Update Date: 06/05/2020
Certification Date: 06/05/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

820 BAY AVE #203A
CAPITOLA CA
95010
US

IV. Provider business mailing address

820 BAY AVE STE 203A
CAPITOLA CA
95010-2100
US

V. Phone/Fax

Practice location:
  • Phone: 831-515-7032
  • Fax:
Mailing address:
  • Phone: 831-515-7032
  • Fax: 831-515-7489

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332BX2000X
TaxonomyOxygen Equipment & Supplies (DME)
License Number34760
License Number StateCA

VIII. Authorized Official

Name: MAHNAZ J AZIMI
Title or Position: OWNER
Credential:
Phone: 408-206-9432