MEDICARE: FOCUS CENTER FOR SLEEP APNEA AND SNORING, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223G0001X	General Practice Dentistry	29998	CA
2	207QS1201X	Sleep Medicine (Family Medicine) Physician	G58593	CA

General Provider Information

NPI Number	:	1124252564
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FOCUS CENTER FOR SLEEP APNEA AND SNORING, LLC

Provider Business Mailing Address
First Line	:	28040 DOROTHY DR STE 203
Second Line	:
City	:	AGOURA HILLS
State	:	CA
Zip	:	91301-4916
Country	:	US
Telephone Number	:	818-889-4448
Fax Number	:	818-889-0206

Provider Business Practice Location Address
First Line	:	28040 DOROTHY DR STE 203
Second Line	:
City	:	AGOURA HILLS
State	:	CA
Zip	:	91301-4916
Country	:	US
Telephone Number	:	818-889-4448
Fax Number	:	818-889-0206

Authorized Official
Title or Position	:	OWNER
Name	:	DR. DANIEL C SMITH
Credential	:	DDS
Telephone Number	:	818-889-4448

Provider Enumeration Date	:	05/13/2009
Last Update Date	:	05/13/2009

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