Organization
SLEEPMED OF CALIFORNIA INC
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
795 MORNING STAR DR, SUITE A, SONORA, CA 95370-5193
(408) 260-9170
(408) 260-9180
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
—
7618325
AETNA
CA
01
—
ZZZ07905Z
BLUE SHIELD CA
CA
Enumeration date
08/05/2006
Last updated
10/19/2009
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