Healthcare Provider Details

I. General information

NPI: 1932137007
Provider Name (Legal Business Name): FRESNO SLEEP-WAKE DISORDER CENTER OF CALIFORNIA, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/29/2006
Last Update Date: 07/19/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6073 N 1ST ST
FRESNO CA
93710-5444
US

IV. Provider business mailing address

6073 NORTH FIRST STREET
FRESNO CA
93710-5444
US

V. Phone/Fax

Practice location:
  • Phone: 559-436-9600
  • Fax: 559-436-9606
Mailing address:
  • Phone: 559-436-9600
  • Fax: 559-436-9606

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code246ZE0600X
TaxonomyElectroneurodiagnostic Specialist/Technologist
License Number
License Number State

VIII. Authorized Official

Name: MR. DANIEL BARKUME
Title or Position: MANAGING DIRECTOR
Credential: RCP, RPSGT
Phone: 559-367-1058