Organization
DON B LOUIE
Active
Other names
SIERRA PULMONARY
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DON LOUIE (OWNER)
(530) 621-2055
Entity
Organization
Contact information
Practice address
6051 ENTERPRISE DR, STE 103, DIAMOND SPRINGS, CA 95619-9467
(530) 621-2055
(530) 621-2311
Mailing address
6051 ENTERPRISE DR, STE 103, DIAMOND SPRINGS, CA 95619-9467
(530) 621-2055
(530) 621-2311
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
10052
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
DME03087F
—
CA
Enumeration date
06/19/2005
Last updated
07/16/2012
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