MEDICARE: TRI-VALLEY SLEEP CENTER

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QS1200X	Sleep Disorder Diagnostic Clinic/Center

General Provider Information

NPI Number	:	1194994087
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TRI-VALLEY SLEEP CENTER

Provider Business Mailing Address
First Line	:	5201 NORRIS CANYON RD
Second Line	:	SUITE 120
City	:	SAN RAMON
State	:	CA
Zip	:	94583-5411
Country	:	US
Telephone Number	:	925-327-0200
Fax Number	:	925-327-0300

Provider Business Practice Location Address
First Line	:	5201 NORRIS CANYON RD
Second Line	:	SUITE 120
City	:	SAN RAMON
State	:	CA
Zip	:	94583-5411
Country	:	US
Telephone Number	:	925-327-0200
Fax Number	:	925-327-0300

Authorized Official
Title or Position	:	MANAGING DIRECTOR /COO
Name	:	SARBJIT DHESI
Credential	:
Telephone Number	:	925-327-0200

Provider Enumeration Date	:	02/25/2008
Last Update Date	:	10/30/2014

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