Provider Demographics
NPI:1508248485
Name:OZDALGA, CYRUS NUMAN
Entity Type:Individual
Prefix:
First Name:CYRUS
Middle Name:NUMAN
Last Name:OZDALGA
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1140 CASTRO ST APT 24
Mailing Address - Street 2:
Mailing Address - City:MOUNTAIN VIEW
Mailing Address - State:CA
Mailing Address - Zip Code:94040-2545
Mailing Address - Country:US
Mailing Address - Phone:408-313-8959
Mailing Address - Fax:
Practice Address - Street 1:1140 CASTRO ST APT 24
Practice Address - Street 2:
Practice Address - City:MOUNTAIN VIEW
Practice Address - State:CA
Practice Address - Zip Code:94040-2545
Practice Address - Country:US
Practice Address - Phone:408-313-8959
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-06-26
Last Update Date:2015-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CARCP36063227900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes227900000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRespiratory Therapist, Registered