Organization
SLEEPMED OF CALIFORNIA, INC.
Active
Other names
BioSerenity
Organization subpart
No
Provider details
NPI number
Authorized official
STEVEN RUSSELL (CFO)
(770) 330-7836
Entity
Organization
Contact information
Practice address
1660 W YOSEMITE AVE, SUITE 2A, MANTECA, CA 95337
(209) 239-3402
(209) 239-3678
Mailing address
99 ROSEWOOD DR STE 245, DANVERS, MA 01923-4537
(978) 536-7400
(978) 535-9778
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
—
7618325
AETNA
CA
01
—
ZZZ06442Z
BLUE SHIELD CA
CA
Enumeration date
08/04/2006
Last updated
12/10/2021
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