Organization
SLEEPMED OF CALIFORNIA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CARL R. IBERGER (EVP CFO)
(978) 536-7400
Entity
Organization
Contact information
Practice address
959 E WALNUT ST, SUITE 150, PASADENA, CA 91106-1451
(978) 536-7400
(978) 535-9757
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
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ZZZ06438Z
BLUE SHIELD PROVIDER #
CA
Enumeration date
08/04/2006
Last updated
10/19/2009
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