Provider Demographics
NPI:1255689915
Name:SLEEPMED OF CALIFORNIA INC
Entity Type:Organization
Organization Name:SLEEPMED OF CALIFORNIA INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EVP - CAO
Authorized Official - Prefix:
Authorized Official - First Name:CARL
Authorized Official - Middle Name:
Authorized Official - Last Name:IBERGER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:978-536-7400
Mailing Address - Street 1:200 CORPORATE PL
Mailing Address - Street 2:5B
Mailing Address - City:PEABODY
Mailing Address - State:MA
Mailing Address - Zip Code:01960-3840
Mailing Address - Country:US
Mailing Address - Phone:978-536-7400
Mailing Address - Fax:
Practice Address - Street 1:10642 DOWNEY AVE
Practice Address - Street 2:100
Practice Address - City:DOWNEY
Practice Address - State:CA
Practice Address - Zip Code:90241-3442
Practice Address - Country:US
Practice Address - Phone:562-622-3732
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-08-28
Last Update Date:2012-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QS1200XAmbulatory Health Care FacilitiesClinic/CenterSleep Disorder Diagnostic