Provider Demographics
NPI:1598979494
Name:CHEST AND CRITICAL CARE CONSULTANTS
Entity Type:Organization
Organization Name:CHEST AND CRITICAL CARE CONSULTANTS
Other - Org Name:SOUTHERN CALIFORNIA SLEEP DISORDER SPECIALISTS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:SENIOR MANAGING PARTNER
Authorized Official - Prefix:
Authorized Official - First Name:HARMOHINDER
Authorized Official - Middle Name:S
Authorized Official - Last Name:GOGIA
Authorized Official - Suffix:
Authorized Official - Credentials:MD,
Authorized Official - Phone:714-772-8282
Mailing Address - Street 1:947 S ANAHEIM BLVD
Mailing Address - Street 2:SUITE 210
Mailing Address - City:ANAHEIM
Mailing Address - State:CA
Mailing Address - Zip Code:92805-5582
Mailing Address - Country:US
Mailing Address - Phone:714-491-1159
Mailing Address - Fax:714-491-8931
Practice Address - Street 1:26137 LA PAZ RD
Practice Address - Street 2:SUITE 100
Practice Address - City:MISSION VIEJO
Practice Address - State:CA
Practice Address - Zip Code:92691-5319
Practice Address - Country:US
Practice Address - Phone:714-491-1159
Practice Address - Fax:714-491-8931
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:CHEST AND CRITICAL CARE CONSULTANTS
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2007-05-09
Last Update Date:2010-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QS1200XAmbulatory Health Care FacilitiesClinic/CenterSleep Disorder Diagnostic
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAGR0025650Medicaid
CACR0969OtherMEDICARE RR
CAW7183Medicare PIN