Organization
VALLEY SLEEP DISORDERS CENTER OF SAN ANDREAS MEDICAL GROUP L.P.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT G MONIE M.D. (PRESIDENT)
(209) 466-8011
Entity
Organization
Contact information
Practice address
1805 N CALIFORNIA ST, SUITE 206, STOCKTON, CA 95204-6037
(209) 466-8011
(209) 466-0250
Mailing address
564 MOUNTAIN RANCH ROAD, PO BOX 564, SAN ANDREAS, CA 95249
(209) 754-5374
(209) 754-5376
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
00G311730
CA
207RP1001X
Pulmonary Disease Physician
A45770
CA
Other
Enumeration date
05/21/2007
Last updated
08/22/2020
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