Organization
PENINSULA SLEEP CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MEHRAN FARID-MOAYER M.D. (CEO)
(650) 696-2415
Entity
Organization
Contact information
Practice address
1720 EL CAMINO REAL, SUITE 150, BURLINGAME, CA 94010-3224
(650) 697-7079
(650) 697-5845
Mailing address
1720 EL CAMINO REAL, SUITE 150, BURLINGAME, CA 94010-3224
(650) 696-2415
(650) 696-2417
Taxonomy
Speciality
Code
Description
License number
State
207RS0012X
Sleep Medicine (Internal Medicine) Physician
Primary
—
—
Other
Enumeration date
05/17/2006
Last updated
05/16/2012
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