Provider Demographics
NPI:1124252564
Name:FOCUS CENTER FOR SLEEP APNEA AND SNORING, LLC
Entity type:Organization
Organization Name:FOCUS CENTER FOR SLEEP APNEA AND SNORING, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:DANIEL
Authorized Official - Middle Name:C
Authorized Official - Last Name:SMITH
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:818-889-4448
Mailing Address - Street 1:28040 DOROTHY DR STE 203
Mailing Address - Street 2:
Mailing Address - City:AGOURA HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:91301-4916
Mailing Address - Country:US
Mailing Address - Phone:818-889-4448
Mailing Address - Fax:818-889-0206
Practice Address - Street 1:28040 DOROTHY DR STE 203
Practice Address - Street 2:
Practice Address - City:AGOURA HILLS
Practice Address - State:CA
Practice Address - Zip Code:91301-4916
Practice Address - Country:US
Practice Address - Phone:818-889-4448
Practice Address - Fax:818-889-0206
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-05-13
Last Update Date:2009-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA299981223G0001X
CAG58593207QS1201X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207QS1201XAllopathic & Osteopathic PhysiciansFamily MedicineSleep MedicineGroup - Multi-Specialty
No1223G0001XDental ProvidersDentistGeneral PracticeGroup - Multi-Specialty