Provider Demographics
NPI:1790935872
Name:CENTRAL CALIFORNIA SLEEP DISORDERS CENTER, LLC
Entity Type:Organization
Organization Name:CENTRAL CALIFORNIA SLEEP DISORDERS CENTER, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:BRET
Authorized Official - Middle Name:E
Authorized Official - Last Name:SHERMAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD PHD
Authorized Official - Phone:559-447-5337
Mailing Address - Street 1:7575 N CEDAR AVE
Mailing Address - Street 2:SUITE 103
Mailing Address - City:FRESNO
Mailing Address - State:CA
Mailing Address - Zip Code:93720-2693
Mailing Address - Country:US
Mailing Address - Phone:559-447-5337
Mailing Address - Fax:559-438-5313
Practice Address - Street 1:7575 N CEDAR AVE
Practice Address - Street 2:SUITE 103
Practice Address - City:FRESNO
Practice Address - State:CA
Practice Address - Zip Code:93720-2693
Practice Address - Country:US
Practice Address - Phone:559-447-5337
Practice Address - Fax:559-438-5313
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-09-24
Last Update Date:2010-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QS1200XAmbulatory Health Care FacilitiesClinic/CenterSleep Disorder Diagnostic