MEDICARE: SEQUOIA SLEEP DIAGNOSTICS 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	291U00000X	Clinical Medical Laboratory
2	261QS1200X	Sleep Disorder Diagnostic Clinic/Center

General Provider Information

NPI Number	:	1710317821
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SEQUOIA SLEEP DIAGNOSTICS INC.

Provider Business Mailing Address
First Line	:	7575 N CEDAR AVE
Second Line	:	SUITE 103
City	:	FRESNO
State	:	CA
Zip	:	93720-2693
Country	:	US
Telephone Number	:	559-981-5144
Fax Number	:	559-981-5155

Provider Business Practice Location Address
First Line	:	7575 N CEDAR AVE
Second Line	:	SUITE 103
City	:	FRESNO
State	:	CA
Zip	:	93720-2693
Country	:	US
Telephone Number	:	559-981-5144
Fax Number	:	559-981-5155

Authorized Official
Title or Position	:	PARTNER
Name	:	JANET BAILEY
Credential	:
Telephone Number	:	559-916-4433

Provider Enumeration Date	:	11/26/2013
Last Update Date	:	02/03/2022

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