Healthcare Provider Details

I. General information

NPI: 1720667827
Provider Name (Legal Business Name): SLEEP APNEA SURGERY CENTER, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/06/2021
Last Update Date: 02/03/2026
Certification Date: 02/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1174 CASTRO ST STE 112
MOUNTAIN VIEW CA
94040-2572
US

IV. Provider business mailing address

1174 CASTRO ST STE 112
MOUNTAIN VIEW CA
94040-2572
US

V. Phone/Fax

Practice location:
  • Phone: 650-322-8588
  • Fax: 650-324-8339
Mailing address:
  • Phone: 650-322-8588
  • Fax: 650-324-8339

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA1903X
TaxonomyAmbulatory Surgical Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MR. KASEY K LI
Title or Position: DIRECTOR
Credential: MP
Phone: 650-322-8588