Healthcare Provider Details

I. General information

NPI: 1477343309
Provider Name (Legal Business Name): AERISLEEP MOBILE DIAGNOSTICS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/12/2025
Last Update Date: 06/25/2025
Certification Date: 06/25/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5720 WILLARD WAY
RIVERSIDE CA
92504-1529
US

IV. Provider business mailing address

5720 WILLARD WAY
RIVERSIDE CA
92504-1529
US

V. Phone/Fax

Practice location:
  • Phone: 909-242-1199
  • Fax:
Mailing address:
  • Phone: 909-242-1199
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225B00000X
TaxonomyPulmonary Function Technologist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code261QS1200X
TaxonomySleep Disorder Diagnostic Clinic/Center
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code335V00000X
TaxonomyPortable X-ray and/or Other Portable Diagnostic Imaging Supplier
License Number
License Number State

VIII. Authorized Official

Name: YESENIA HERNANDEZ
Title or Position: OWNER
Credential: RCP
Phone: 909-242-1199