Organization
SLEEPMED OF CALIFORNIA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CARL R IBERGERQ (EVP CFO)
(978) 536-7400
Entity
Organization
Contact information
Practice address
16843 ALGONQUIN ST, HUNTINGTON BEACH, CA 92649-3810
(714) 846-6516
Mailing address
200 CORPORATE PL, SUITE 5B, PEABODY, MA 01960-3840
(978) 536-7400
Taxonomy
Speciality
Code
Description
License number
State
261QS1200X
Sleep Disorder Diagnostic Clinic/Center
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ZZZ07903Z
BLUE SHIELD CA
CA
Enumeration date
11/28/2006
Last updated
10/19/2009
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