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SLEEPMED OF CALIFORNIA INC. NPI 1760490593


NPI Information

NPI: 1760490593
Provider Name: SLEEPMED OF CALIFORNIA, INC.

Doing Business As: BIOSERENITY

Classification: Clinic/Center - 261QS1200X
Entity Type: Organization

Specialization: Sleep Disorder Diagnostic

CLIA Number: 05D2220537

Address:
11201 CALIFORNIA ST
B2
REDLANDS, CA
ZIP 92373
Phone: (909) 793-5105
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SLEEPMED OF CALIFORNIA, INC. is a sleep disorder diagnostic clinic center in Redlands, CA. SLEEPMED OF CALIFORNIA, INC. NPI is 1760490593. The provider is registered as an organization entity type.
The provider Is Doing Business As Bioserenity.

The provider's business location address is:

11201 CALIFORNIA ST
B2
REDLANDS, CA
ZIP 92373
Phone: (909) 793-5105
Fax: (978) 535-9757

The provider's authorized official is Janice Shock .
The authorized official title is Evp Clinical Operations and has the following contact phone number (214) 532-3757.

The CLIA number assigned to this NPI record is 05D2220537 - independent with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/4/2006 and was last updated on 5/10/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1332B00000XDurable Medical Equipment & Medical SuppliesNo
2261QS1200XClinic/CenterSleep Disorder DiagnosticYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
17618325OTHERCALIFORNIAAETNA
2P00201688OTHERMEDICARE RR
3ZZZ51297ZOTHERCALIFORNIABLUE SHIELD CA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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