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Organization
SLEEPMED OF CALIFORNIA INC
Active
Organization
SLEEPMED OF CALIFORNIA INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH ROSE (VP FINANCE & ADMINISTRATION)
(978) 536-7400
Entity
Organization
Contact information
Practice address
1200 SCENIC DR, 101, MODESTO, CA 95350-6137
(209) 575-3311
Mailing address
200 CORPORATE PL, SUITE 5B, PEABODY, MA 01960-3840
(978) 536-7400
(978) 535-9757
Taxonomy
Speciality
Code
Description
License number
State
261QS1200X
Sleep Disorder Diagnostic Clinic/Center
Primary
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
470000828
RAILROAD MEDICARE
CA
01
—
7618325
AETNA
CA
01
—
ZZZ07904Z
BLUE SHIELD CA
CA
Enumeration date
08/04/2006
Last updated
05/20/2016
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