Organization
INNOVATIVE SLEEP CENTERS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MEHRDAD RAZAVI M.D. (DIRECTOR)
(415) 927-4990
Entity
Organization
Contact information
Practice address
1505 VICTOR AVE, REDDING, CA 96003-4031
(415) 927-4990
(415) 927-4999
Mailing address
1505 VICTOR AVE, REDDING, CA 96003-4031
(415) 927-4990
(415) 927-4999
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
—
—
2084S0012X
Sleep Medicine (Psychiatry & Neurology) Physician
Primary
—
—
Other
Enumeration date
11/04/2014
Last updated
12/19/2019
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