Provider Demographics
NPI:1225559255
Name:C2C MEDICAL APC/C2C SLEEP
Entity Type:Organization
Organization Name:C2C MEDICAL APC/C2C SLEEP
Other - Org Name:C2C SLEEP
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:GURDIP
Authorized Official - Middle Name:SINGH
Authorized Official - Last Name:FLORA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:213-349-1449
Mailing Address - Street 1:8816 FOOTHILL BLVD STE 103
Mailing Address - Street 2:
Mailing Address - City:RANCHO CUCAMONGA
Mailing Address - State:CA
Mailing Address - Zip Code:91730-7199
Mailing Address - Country:US
Mailing Address - Phone:213-349-1449
Mailing Address - Fax:
Practice Address - Street 1:8816 FOOTHILL BLVD
Practice Address - Street 2:STE 103
Practice Address - City:RANCHO CUCAMONGA
Practice Address - State:CA
Practice Address - Zip Code:91730
Practice Address - Country:US
Practice Address - Phone:213-349-1449
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-06-29
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA43194261QS1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QS1200XAmbulatory Health Care FacilitiesClinic/CenterSleep Disorder Diagnostic