| La Snore Doctor Llc | |
|
11980 San Vicente Blvd Suite 802 Los Angeles CA 90049-5012 | |
| (310) 820-6831 | |
| (310) 820-2296 |
| Full Name | La Snore Doctor Llc |
|---|---|
| Speciality | Dentist |
| Location | 11980 San Vicente Blvd, Los Angeles, California |
| Authorized Official Name and Position | Michael Kevin Barrett (OWNER) |
| Authorized Official Contact | 3108206831 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| La Snore Doctor Llc 11980 San Vicente Blvd Suite 802 Los Angeles CA 90049-5012 Ph: (310) 820-6831 | La Snore Doctor Llc 11980 San Vicente Blvd Suite 802 Los Angeles CA 90049-5012 Ph: (310) 820-6831 |
| NPI Number | 1215360920 |
|---|---|
| Provider Enumeration Date | 08/16/2013 |
| Last Update Date | 10/31/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215360920 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (California) | Primary |
| 332BC3200X | Durable Medical Equipment & Medical Supplies - Customized Equipment | (* (Not Available)) | Secondary |
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