Healthcare Provider Details

I. General information

NPI: 1538040720
Provider Name (Legal Business Name): SLEEP APNEA TESTING AND TREATMENT CENTER, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/12/2025
Last Update Date: 09/12/2025
Certification Date: 09/12/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

400 29TH ST STE 208A
OAKLAND CA
94609-3547
US

IV. Provider business mailing address

400 29TH ST STE 208A
OAKLAND CA
94609-3547
US

V. Phone/Fax

Practice location:
  • Phone: 341-234-0072
  • Fax: 510-835-5023
Mailing address:
  • Phone: 341-234-0072
  • Fax: 510-835-5023

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QS1200X
TaxonomySleep Disorder Diagnostic Clinic/Center
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code207RS0012X
TaxonomySleep Medicine (Internal Medicine) Physician
License Number
License Number StateNULL

VIII. Authorized Official

Name: ANGELO DEAN MILLER
Title or Position: GENERAL MANAGER
Credential:
Phone: 510-593-6009