Healthcare Provider Details
I. General information
NPI: 1770463374
Provider Name (Legal Business Name): SLEEP CARE CENTERS
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 09/04/2025
Last Update Date: 09/04/2025
Certification Date: 09/04/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
9497 N FORT WASHINGTON RD STE 103
FRESNO CA
93730-0606
US
IV. Provider business mailing address
8598 UTICA AVE STE 100
RANCHO CUCAMONGA CA
91730-4873
US
V. Phone/Fax
- Phone: 909-987-3535
- Fax: 909-987-3536
- Phone: 909-987-3535
- Fax: 909-987-3536
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QS1200X |
| Taxonomy | Sleep Disorder Diagnostic Clinic/Center |
| License Number | |
| License Number State | NULL |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207QS1201X |
| Taxonomy | Sleep Medicine (Family Medicine) Physician |
| License Number | |
| License Number State | NULL |
VIII. Authorized Official
Name:
LEONOR
PEREIRA
Title or Position: CEO
Credential: JD, MBA
Phone: 626-833-8689