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Organization

CALIFORNIA SLEEP DIAGNOSTIC SERVICES

Active
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Organization

CALIFORNIA SLEEP DIAGNOSTIC SERVICES

Active
Parent organization
LONNIE R SMITH M.D.
Organization subpart
Yes

Provider details

NPI number
Legal business name
LONNIE R SMITH M.D.
Authorized official
MRS. SHELLY ANN ROBERSON CRTT (OWNER)
(805) 434-3171
Entity
Organization

Contact information

Practice address
235 GAUCHO CT, TEMPLETON, CA 93465-5442
(805) 434-3171
(805) 434-3171
Mailing address
235 GAUCHO CT, TEMPLETON, CA 93465-5442
(805) 434-3171
(805) 434-3171

Taxonomy

Speciality
Code
Description
License number
State
173F00000X
Sleep Specialist (PhD)
G51637
CA
291U00000X
Clinical Medical Laboratory
Primary
00016880
CA

Other

Enumeration date
02/17/2009
Last updated
04/14/2010
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