MEDICARE: SLEEPMED THERAPIES 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
1	332B00000X	Durable Medical Equipment & Medical Supplies

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	ZZZ09732Z	OTHER	CA	BLUE SHIELD PROVIDER #

General Provider Information

NPI Number	:	1508804501
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SLEEPMED THERAPIES 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	:	2080 CENTURY PARK E
Second Line	:	SUITE 1212
City	:	LOS ANGELES
State	:	CA
Zip	:	90067-2001
Country	:	US
Telephone Number	:	310-843-9955
Fax Number	:	310-843-9050

Authorized Official
Title or Position	:	EVP/CFO
Name	:	MR. CARL R. IBERGER
Credential	:
Telephone Number	:	978-536-7400

Provider Enumeration Date	:	06/02/2006
Last Update Date	:	10/20/2009

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Directions to “SLEEPMED THERAPIES INC ” Practice Location

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