Provider Demographics
NPI:1538569793
Name:DIABLO MEDICAL & SLEEP CLINIC MEDICAL CORPORATION
Entity type:Organization
Organization Name:DIABLO MEDICAL & SLEEP CLINIC MEDICAL CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ABID
Authorized Official - Middle Name:
Authorized Official - Last Name:MAJID
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:510-329-5421
Mailing Address - Street 1:2000 VALE RD
Mailing Address - Street 2:
Mailing Address - City:SAN PABLO
Mailing Address - State:CA
Mailing Address - Zip Code:94806-3808
Mailing Address - Country:US
Mailing Address - Phone:510-222-5421
Mailing Address - Fax:510-222-5249
Practice Address - Street 1:2000 VALE RD
Practice Address - Street 2:
Practice Address - City:SAN PABLO
Practice Address - State:CA
Practice Address - Zip Code:94806-3808
Practice Address - Country:US
Practice Address - Phone:510-222-5421
Practice Address - Fax:510-222-5249
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-08-25
Last Update Date:2014-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA207RS0012X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RS0012XAllopathic & Osteopathic PhysiciansInternal MedicineSleep MedicineGroup - Single Specialty