Healthcare Provider Details

I. General information

NPI: 1467368050
Provider Name (Legal Business Name): STRETCH MEDICAL CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/22/2026
Last Update Date: 09/22/2026
Certification Date: 09/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3 GERMAY DR UNIT 4-1853
WILMINGTON DE
19804-1127
US

IV. Provider business mailing address

2108 N ST STE N
SACRAMENTO CA
95816-5712
US

V. Phone/Fax

Practice location:
  • Phone: 910-910-7590
  • Fax:
Mailing address:
  • Phone: 909-667-5337
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RS0012X
TaxonomySleep Medicine (Internal Medicine) Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. ROBERT STRETCH
Title or Position: PRESIDENT
Credential: MD
Phone: 909-667-5337