Healthcare Provider Details

I. General information

NPI: 1700830783
Provider Name (Legal Business Name): FREMONT SLEEP APNEA CENTER, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/22/2006
Last Update Date: 03/23/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

556 MOWRY AVE SUITE 102
FREMONT CA
94536-4186
US

IV. Provider business mailing address

556 MOWRY AVE SUITE 102
FREMONT CA
94536-4186
US

V. Phone/Fax

Practice location:
  • Phone: 510-742-5432
  • Fax: 510-742-8767
Mailing address:
  • Phone: 510-742-5432
  • Fax: 510-742-8767

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QS1200X
TaxonomySleep Disorder Diagnostic Clinic/Center
License Number5468
License Number StateCA

VIII. Authorized Official

Name: DR. SARBJIT DHESI
Title or Position: PRESIDENT
Credential: D.C.
Phone: 510-742-9143