Organization
SAN ANDREAS SLEEP DISORDERS MEDICAL GROUP, INC
Active
Other names
San Andreas Sleep Center
Organization subpart
No
Provider details
NPI number
Authorized official
STACY ANN JOYNER (OFFICE MANAGER)
(209) 754-5374
Entity
Organization
Contact information
Practice address
704 MOUNTAIN RANCH RD, SUITE 205, SAN ANDREAS, CA 95249-9707
(209) 754-5374
(209) 754-5376
Mailing address
704 MOUNTAIN RANCH RD, SUITE 205, SAN ANDREAS, CA 95249-9707
(209) 754-5374
(209) 754-5376
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
A45770
CA
207RS0012X
Sleep Medicine (Internal Medicine) Physician
A101134
CA
207RS0012X
Sleep Medicine (Internal Medicine) Physician
Primary
A45770
CA
207RS0012X
Sleep Medicine (Internal Medicine) Physician
A56143
CA
Other
Enumeration date
10/11/2012
Last updated
12/24/2013
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