# PENINSULA SLEEP CENTER INC

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

## Provider details

- **NPI number:** 1407808579
- **Authorized official:** MEHRAN FARID-MOAYER M.D. (CEO)
- **Authorized official phone:** (650) 696-2415

## Contact information

- **Practice address:** 1720 EL CAMINO REAL, SUITE 150, BURLINGAME, CA 94010-3224
- **Practice address phone:** (650) 697-7079
- **Practice address fax:** (650) 697-5845
- **Mailing address:** 1720 EL CAMINO REAL, SUITE 150, BURLINGAME, CA 94010-3224
- **Mailing address phone:** (650) 696-2415
- **Mailing address fax:** (650) 696-2417

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RS0012X | Sleep Medicine (Internal Medicine) Physician | — | NULL | Yes |
| 207RS0012X | Sleep Medicine (Internal Medicine) Physician | — | — | Yes |

## Other

- **Enumeration date:** 05/17/2006
- **Last updated:** 05/16/2012