Organization
SLEEPMED OF CALIFORNIA INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CARL R IBERGER (EVP-CAO)
(978) 536-7400
Entity
Organization
Contact information
Practice address
74960 US HIGHWAY 111, INDIAN WELLS, CA 92210-7117
(760) 346-0553
Mailing address
200 CORPORATE PL, 5B, PEABODY, MA 01960-3840
(978) 536-7400
Taxonomy
Speciality
Code
Description
License number
State
261QS1200X
Sleep Disorder Diagnostic Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7618325
AETNA
CA
Enumeration date
06/22/2010
Last updated
06/08/2011
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