Healthcare Provider Details

I. General information

NPI: 1467179424
Provider Name (Legal Business Name): SILENT NIGHT SLEEP SOLUTIONS INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/20/2022
Last Update Date: 10/20/2022
Certification Date: 10/20/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1431 N TRACY BLVD
TRACY CA
95376-3445
US

IV. Provider business mailing address

1431 N TRACY BLVD
TRACY CA
95376-3445
US

V. Phone/Fax

Practice location:
  • Phone: 415-810-2302
  • Fax:
Mailing address:
  • Phone: 415-810-2302
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code122300000X
TaxonomyDentist
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code332BC3200X
TaxonomyCustomized Equipment (DME)
License Number
License Number State

VIII. Authorized Official

Name: DR. SHIRLEY JING YU ZHAO
Title or Position: CEO
Credential: DDS
Phone: 415-810-2302