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
830 MENLO AVE, MENLO PARK, CA 94025-4751
(866) 887-6673
(866) 442-7632
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
—
ZZZ09173Z
BLUE SHIELD ID#
CA
Enumeration date
01/23/2007
Last updated
09/10/2010
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