Provider Demographics
NPI:1568182814
Name:GANDIS G MAZEIKA MD PS
Entity Type:Organization
Organization Name:GANDIS G MAZEIKA MD PS
Other - Org Name:SOUND SLEEP HEALTH
Other - Org Type:Doing Business As
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:ALEXANDRA
Authorized Official - Middle Name:A
Authorized Official - Last Name:MAZEIKA
Authorized Official - Suffix:
Authorized Official - Credentials:JD
Authorized Official - Phone:206-427-4242
Mailing Address - Street 1:16150 NE 85TH ST STE 203
Mailing Address - Street 2:
Mailing Address - City:REDMOND
Mailing Address - State:WA
Mailing Address - Zip Code:98052-3543
Mailing Address - Country:US
Mailing Address - Phone:206-427-4242
Mailing Address - Fax:425-636-2401
Practice Address - Street 1:21701 76TH AVE W STE 206
Practice Address - Street 2:
Practice Address - City:EDMONDS
Practice Address - State:WA
Practice Address - Zip Code:98026-7536
Practice Address - Country:US
Practice Address - Phone:206-427-4242
Practice Address - Fax:425-636-2401
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-08-29
Last Update Date:2022-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QS1200XAmbulatory Health Care FacilitiesClinic/CenterSleep Disorder Diagnostic
No2084S0012XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologySleep MedicineGroup - Single Specialty