Organization Name: | CENTRAL CALIFORNIA SLEEP CENTER |
NPI Number: | 1295975274 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | WELDON K SCHAPANSKY (OWNER) |
Mailing Address: | 7770 N Fresno St Ste 101 Fresno |
State: | CA US |
Postal Code: | 937202412 |
Phone Number: | 5595776673 |
Fax Number: | 5594568814 |
NPI Enumeration Date: | 03/03/2009 |
NPI Last Update Date: | 05/18/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 21507 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |