Organization
SLEEPMED OF CALIFORNIA INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CARL R IBERGER (EVP-CFO)
(978) 536-7400
Entity
Organization
Contact information
Practice address
5777 GREENBACK LN, 110, SACRAMENTO, CA 95841-2013
(978) 536-7400
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
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7618325
AENTA
CA
01
—
ZZZ53584Y
BLUE SHIELD
CA
Enumeration date
04/14/2008
Last updated
05/16/2011
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