Provider Demographics
NPI:1679262414
Name:COMFORT CLINIC
Entity Type:Organization
Organization Name:COMFORT CLINIC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER, CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:ARDIN
Authorized Official - Middle Name:SUI
Authorized Official - Last Name:BERGER
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:650-313-1523
Mailing Address - Street 1:1954 MOUNTAIN BLVD UNIT 13149
Mailing Address - Street 2:
Mailing Address - City:OAKLAND
Mailing Address - State:CA
Mailing Address - Zip Code:94661-0407
Mailing Address - Country:US
Mailing Address - Phone:650-313-1523
Mailing Address - Fax:
Practice Address - Street 1:2999 REGENT ST STE 522
Practice Address - Street 2:
Practice Address - City:BERKELEY
Practice Address - State:CA
Practice Address - Zip Code:94705-2120
Practice Address - Country:US
Practice Address - Phone:650-313-1523
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-05-08
Last Update Date:2023-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP3300XAmbulatory Health Care FacilitiesClinic/CenterPain