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NPI Code Detail

MEDICARE: SLEEPMED OF CALIFORNIA INC

MEDICARE: SLEEPMED OF CALIFORNIA INC
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
1332B00000XDurable Medical Equipment & Medical Supplies
2261QS1200XSleep Disorder Diagnostic Clinic/Center

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1ZZZ07906ZOTHERCABLUE SHIELD CA
27618325OTHERCAAETNA

General Provider Information

NPI Number : 1114935806
Entity Type Code : Organization
Provider Name (Legal Business Name) : SLEEPMED OF CALIFORNIA INC
Provider Business Mailing Address
First Line : 200 CORPORATE PL
Second Line : SUITE 5B
City : PEABODY
State : MA
Zip : 01960-3840
Country : US
Telephone Number : 978-536-7400
Fax Number : 978-535-9757
Provider Business Practice Location Address
First Line : 1101 S WINCHESTER BLVD
Second Line : SUITE N264
City : SAN JOSE
State : CA
Zip : 95128-3901
Country : US
Telephone Number : 978-536-7400
Fax Number : 978-535-9757
Authorized Official
Title or Position : EVP CFO
Name : MR. CARL R. IBERGER
Credential :
Telephone Number : 978-536-7400
Provider Enumeration Date : 08/04/2006
Last Update Date : 10/19/2009

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Directions to “SLEEPMED OF CALIFORNIA INC ” Practice Location

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