Healthcare Provider Details

I. General information

NPI: 1750049029
Provider Name (Legal Business Name): DREEM SLEEP CLINIC OF CALIFORNIA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/03/2021
Last Update Date: 01/29/2025
Certification Date: 01/29/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

611 GATEWAY BLVD STE 120
SOUTH SAN FRANCISCO CA
94080-7066
US

IV. Provider business mailing address

121 W 36TH ST # 237
NEW YORK NY
10018-3612
US

V. Phone/Fax

Practice location:
  • Phone: 650-761-4056
  • Fax: 208-985-2965
Mailing address:
  • Phone: 650-761-4056
  • Fax: 208-985-2965

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207QS1201X
TaxonomySleep Medicine (Family Medicine) Physician
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code261QM1300X
TaxonomyMulti-Specialty Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: CHRISTOPHER MORRISON
Title or Position: MEDICAL DIRECTOR
Credential: MD
Phone: 650-761-4056