Provider Demographics
NPI:1861039000
Name:GUARDIAN SLEEP CLINIC, LLC
Entity Type:Organization
Organization Name:GUARDIAN SLEEP CLINIC, LLC
Other - Org Name:GUARDIAN MEDICAL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:KAREN
Authorized Official - Middle Name:
Authorized Official - Last Name:VALDERRAMA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:408-217-0250
Mailing Address - Street 1:315 PIERCY RD
Mailing Address - Street 2:
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95138-1403
Mailing Address - Country:US
Mailing Address - Phone:408-217-0250
Mailing Address - Fax:
Practice Address - Street 1:1827 E FIR AVE STE 102
Practice Address - Street 2:
Practice Address - City:FRESNO
Practice Address - State:CA
Practice Address - Zip Code:93720-3860
Practice Address - Country:US
Practice Address - Phone:559-334-3242
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:GUARDIAN SLEEP CLINIC, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2019-12-06
Last Update Date:2023-05-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No261QS1200XAmbulatory Health Care FacilitiesClinic/CenterSleep Disorder Diagnostic