MEDICARE: SLEEP DATA HOLDINGS, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	261QS1200X	Sleep Disorder Diagnostic Clinic/Center
2	332BX2000X	Oxygen Equipment & Supplies (DME)
3	332B00000X	Durable Medical Equipment & Medical Supplies

General Provider Information

NPI Number	:	1366124844
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SLEEP DATA HOLDINGS, LLC

Provider Business Mailing Address
First Line	:	5471 KEARNY VILLA RD STE 200
Second Line	:
City	:	SAN DIEGO
State	:	CA
Zip	:	92123-1143
Country	:	US
Telephone Number	:	866-801-9440
Fax Number	:

Provider Business Practice Location Address
First Line	:	777 E TAHQUITZ CANYON WAY STE 338
Second Line	:
City	:	PALM SPRINGS
State	:	CA
Zip	:	92262-6753
Country	:	US
Telephone Number	:	866-801-9440
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	DAVID FRENCH
Credential	:
Telephone Number	:	866-801-9440

Provider Enumeration Date	:	08/03/2023
Last Update Date	:	08/03/2023

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