Organization
LODI SLEEP DISORDERS MANAGEMENT GROUP LP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT GEORGE MONIE M.D. (PRESIDENT)
(209) 466-8011
Entity
Organization
Contact information
Practice address
1930 TIENDA DR, SUITE 202, LODI, CA 95242-3933
(209) 365-1231
(209) 466-0250
Mailing address
1805 N CALIFORNIA ST, SUITE 206, STOCKTON, CA 95204-6037
(209) 466-8011
(209) 466-0250
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
00G311730
CA
Other
Enumeration date
02/02/2007
Last updated
08/22/2020
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