# PROGRESSIVE SLEEP CENTER A MEDICAL CORPORATION

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1316439631
- **Authorized official:** PRAKASH BHATIA MD (OWNER)
- **Authorized official phone:** (619) 267-9108

## Contact information

- **Practice address:** 502 EUCLID AVE STE 302, NATIONAL CITY, CA 91950
- **Practice address phone:** (619) 292-0544
- **Mailing address:** 502 EUCLID AVE STE 302, NATIONAL CITY, CA 91950-2995
- **Mailing address phone:** (619) 292-0544

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207QS1201X | Sleep Medicine (Family Medicine) Physician | — | NULL | — |
| 207QS1201X | Sleep Medicine (Family Medicine) Physician | — | — | — |
| 207RS0012X | Sleep Medicine (Internal Medicine) Physician | — | NULL | Yes |
| 207RS0012X | Sleep Medicine (Internal Medicine) Physician | — | — | Yes |
| 2084S0012X | Sleep Medicine (Psychiatry & Neurology) Physician | — | NULL | — |
| 2084S0012X | Sleep Medicine (Psychiatry & Neurology) Physician | — | — | — |

## Other

- **Enumeration date:** 06/01/2018
- **Last updated:** 06/01/2018