Provider Demographics
NPI:1821615725
Name:VASPER SYSTEMS CALLIFORNIA LLC
Entity Type:Organization
Organization Name:VASPER SYSTEMS CALLIFORNIA LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:PETER
Authorized Official - Middle Name:
Authorized Official - Last Name:WASOWSKI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:650-222-1199
Mailing Address - Street 1:PO BOX 38
Mailing Address - Street 2:
Mailing Address - City:MOFFETT FIELD
Mailing Address - State:CA
Mailing Address - Zip Code:94035-0038
Mailing Address - Country:US
Mailing Address - Phone:650-776-0296
Mailing Address - Fax:
Practice Address - Street 1:580 CODY RD
Practice Address - Street 2:
Practice Address - City:MOUNTAIN VIEW
Practice Address - State:CA
Practice Address - Zip Code:94045
Practice Address - Country:US
Practice Address - Phone:650-776-0296
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-06-26
Last Update Date:2020-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes226300000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersKinesiotherapistGroup - Single Specialty