Provider Demographics
NPI:1295520070
Name:MODERN SLEEP PHYSICIANS OF CALIFORNIA
Entity type:Organization
Organization Name:MODERN SLEEP PHYSICIANS OF CALIFORNIA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:GANDIS
Authorized Official - Middle Name:
Authorized Official - Last Name:MAZEIKA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
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 1:99 ALMADEN BLVD STE 600
Practice Address - Street 2:
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95113-1605
Practice Address - Country:US
Practice Address - Phone:669-231-8700
Practice Address - Fax:425-636-2401
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-04-11
Last Update Date:2025-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084S0012XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologySleep MedicineGroup - Single Specialty