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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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