Healthcare Provider Details

I. General information

NPI: 1639446693
Provider Name (Legal Business Name): CALIFORNIA SLEEP AND SNORING PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/18/2011
Last Update Date: 11/18/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

50 POST ST SUITE 6
SAN FRANCISCO CA
94104-4546
US

IV. Provider business mailing address

50 POST ST SUITE 6
SAN FRANCISCO CA
94104-4546
US

V. Phone/Fax

Practice location:
  • Phone: 408-374-4370
  • Fax:
Mailing address:
  • Phone: 408-374-4370
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207YX0905X
TaxonomyOtolaryngology/Facial Plastic Surgery Physician
License Number
License Number State

VIII. Authorized Official

Name: MATTHEW MINGRONE
Title or Position: MEDICAL DIRECTOR
Credential: M.D.
Phone: 408-374-4370