Provider Demographics
NPI:1285124396
Name:SIERRA SLEEP DIAGNOSTICS INC.
Entity type:Organization
Organization Name:SIERRA SLEEP DIAGNOSTICS INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ANTHONY
Authorized Official - Middle Name:SCOTT
Authorized Official - Last Name:SUNSERI
Authorized Official - Suffix:
Authorized Official - Credentials:RPSGT
Authorized Official - Phone:530-273-0360
Mailing Address - Street 1:140 LITTON DR STE 230
Mailing Address - Street 2:
Mailing Address - City:GRASS VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:95945-5080
Mailing Address - Country:US
Mailing Address - Phone:530-273-0360
Mailing Address - Fax:530-273-0390
Practice Address - Street 1:140 LITTON DR STE 230
Practice Address - Street 2:
Practice Address - City:GRASS VALLEY
Practice Address - State:CA
Practice Address - Zip Code:95945-5080
Practice Address - Country:US
Practice Address - Phone:530-273-0360
Practice Address - Fax:530-273-0390
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-05-14
Last Update Date:2018-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QS1200XAmbulatory Health Care FacilitiesClinic/CenterSleep Disorder Diagnostic