Provider Demographics
NPI:1700583440
Name:INSPIRE MEDICAL GROUP OF CALIFORNIA PC
Entity Type:Organization
Organization Name:INSPIRE MEDICAL GROUP OF CALIFORNIA PC
Other - Org Name:INSPIRE MEDICAL GROUP
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRACTICE OWNER
Authorized Official - Prefix:
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:SUKHO
Authorized Official - Last Name:KIM
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:408-513-4722
Mailing Address - Street 1:333 W EL CAMINO REAL STE 230
Mailing Address - Street 2:
Mailing Address - City:SUNNYVALE
Mailing Address - State:CA
Mailing Address - Zip Code:94087-1969
Mailing Address - Country:US
Mailing Address - Phone:949-694-5700
Mailing Address - Fax:
Practice Address - Street 1:333 W EL CAMINO REAL STE 230
Practice Address - Street 2:
Practice Address - City:SUNNYVALE
Practice Address - State:CA
Practice Address - Zip Code:94087-1969
Practice Address - Country:US
Practice Address - Phone:949-694-5700
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-02-13
Last Update Date:2023-07-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty