Healthcare Provider Details

I. General information

NPI: 1821119611
Provider Name (Legal Business Name): VALLEY REGIONAL SLEEP DISORDERS CENTER INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/02/2007
Last Update Date: 10/12/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1177 E WARNER AVE
FRESNO CA
93710-4030
US

IV. Provider business mailing address

3450 W CENTRAL AVE SUITE 118
TOLEDO OH
43606-1416
US

V. Phone/Fax

Practice location:
  • Phone: 559-431-4204
  • Fax:
Mailing address:
  • Phone: 419-535-9282
  • Fax: 419-535-9443

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code293D00000X
TaxonomyPhysiological Laboratory
License Number
License Number State

VIII. Authorized Official

Name: MR. ROBERT H DRAGER
Title or Position: SEC. TREASURER
Credential:
Phone: 419-535-9282