| NPI | 1093965493 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRAD LEE BERRYMAN President/CEO 209-588-8068 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RS0012X Internal Medicine Sleep Medicine (Licence: CA A79487) |
| Additional Taxonomies | 261QS1200X Clinic/Center Sleep Disorder Diagnostic (Licence: CA A79487) |
| Enumeration Date | 2008-09-23 |
| Last Update Date | 2008-09-23 |