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General NPI Number Information
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NPI Number | 1205932555
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Entity Type | Organization
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Legal Business Name | EAST BAY SLEEP MEDICAL CENTER
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Dates
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Enumeration Date | 09/15/2006
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Last Update Date | 06/26/2008
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Provider Practice Location Address
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Address Line | 27001 CALAROGA AVE SUITE 1
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City | HAYWARD
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State | CA
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Zip | 94545-4345
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Country | US
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Telephone | 510-670-0246
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Fax | 510-670-2968
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Provider Business Mailing Address
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Address Line | 27001 CALAROGA AVE SUITE 1
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City | HAYWARD
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State | CA
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Zip | 94545-4345
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Country | US
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Telephone | 510-670-0246
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Fax | 510-670-2968
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Authorized Official
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Title or Position | MEDICAL DIRECTOR
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Name | DR. KIRITKUMAR B PATEL
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Credential | MD
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Telephone | 510-670-0246
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QS1200X
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Taxonomy Name | Sleep Disorder Diagnostic Clinic/Center
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License Number |
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License Number State |
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