Provider Demographics
NPI:1639446693
Name:CALIFORNIA SLEEP AND SNORING PC
Entity Type:Organization
Organization Name:CALIFORNIA SLEEP AND SNORING PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:MATTHEW
Authorized Official - Middle Name:
Authorized Official - Last Name:MINGRONE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:408-374-4370
Mailing Address - Street 1:50 POST ST
Mailing Address - Street 2:SUITE 6
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94104-4546
Mailing Address - Country:US
Mailing Address - Phone:408-374-4370
Mailing Address - Fax:
Practice Address - Street 1:50 POST ST
Practice Address - Street 2:SUITE 6
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94104-4546
Practice Address - Country:US
Practice Address - Phone:408-374-4370
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-11-18
Last Update Date:2011-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207YX0905XAllopathic & Osteopathic PhysiciansOtolaryngologyOtolaryngology/Facial Plastic SurgeryGroup - Single Specialty