Organization
QUALIUM CORP.
Active
Parent organization
QUALIUM CORP.
Other names
BAY SLEEP CLINIC
Organization subpart
Yes
Provider details
NPI number
Legal business name
QUALIUM CORP.
Authorized official
MR. ANOOSH MOSTOWFI (PRESIDENT)
(408) 499-7597
Entity
Organization
Contact information
Practice address
1375 SUTTER ST, SUITE 216, SAN FRANCISCO, CA 94109-5438
(415) 563-7773
(415) 563-7753
Mailing address
14981 NATIONAL AVE, SUITE 1, LOS GATOS, CA 95032-2600
(866) 887-6673
(866) 442-7632
Taxonomy
Speciality
Code
Description
License number
State
261QS1200X
Sleep Disorder Diagnostic Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7383382
AETNA ID#
CA
01
—
ZZZ06076Z
BLUE SHIELD ID# - DME
CA
01
—
ZZZ06310Z
BLUE SHIELD ID#
CA
Enumeration date
01/23/2007
Last updated
09/10/2010
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