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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