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Organization
CONTRA COSTA SLEEP CENTER LLC
Active
Organization
CONTRA COSTA SLEEP CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL LEWIS COHEN MD (CEO)
(925) 935-7667
Entity
Organization
Contact information
Practice address
1700 YGNACIO VALLEY RD, SUITE 100, WALNUT CREEK, CA 94598-3191
(925) 935-7667
(925) 945-7667
Mailing address
1700 YGNACIO VALLEY RD, SUITE 100, WALNUT CREEK, CA 94598
(925) 935-7667
(925) 945-7667
Taxonomy
Speciality
Code
Description
License number
State
261QS1200X
Sleep Disorder Diagnostic Clinic/Center
Primary
034478
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
290015163
RR MEDICARE
CA
01
—
ZZZ05580Z
BLUE SHIELD PIN #
CA
Enumeration date
08/29/2006
Last updated
07/23/2012
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