Healthcare Provider Details

I. General information

NPI: 1760316129
Provider Name (Legal Business Name): EUSOMNIAMD
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/10/2026
Last Update Date: 06/10/2026
Certification Date: 06/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

120B SANTA MARGARITA AVE STE 211
MENLO PARK CA
94025-2725
US

IV. Provider business mailing address

120B SANTA MARGARITA AVE STE 211
MENLO PARK CA
94025-2725
US

V. Phone/Fax

Practice location:
  • Phone: 650-308-4845
  • Fax: 925-204-6417
Mailing address:
  • Phone: 650-308-4845
  • Fax: 925-204-6417

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207LA0401X
TaxonomyAddiction Medicine (Anesthesiology) Physician
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code207RS0012X
TaxonomySleep Medicine (Internal Medicine) Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. BRIAN HARRIS
Title or Position: PRESIDENT
Credential: MD
Phone: 650-308-4845