Provider Demographics
NPI:1659450054
Name:CHEST AND CRITICAL CARE CONSULTANTS
Entity Type:Organization
Organization Name:CHEST AND CRITICAL CARE CONSULTANTS
Other - Org Name:SOUTHERN CALIFORNIA SLEEP DISORDERS SPECIALISTS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:SENIOR MANAGING PARTNER
Authorized Official - Prefix:DR
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 1:13522 NEWPORT AVE
Mailing Address - Street 2:SUITE 19
Mailing Address - City:TUSTIN
Mailing Address - State:CA
Mailing Address - Zip Code:92780-3707
Mailing Address - Country:US
Mailing Address - Phone:714-491-1159
Mailing Address - Fax:714-491-8931
Practice Address - Street 1:13522 NEWPORT AVE
Practice Address - Street 2:SUITE 102
Practice Address - City:TUSTIN
Practice Address - State:CA
Practice Address - Zip Code:92780-3707
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:2006-11-04
Last Update Date:2016-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QS1200XAmbulatory Health Care FacilitiesClinic/CenterSleep Disorder Diagnostic
No207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
No207RC0200XAllopathic & Osteopathic PhysiciansInternal MedicineCritical Care MedicineGroup - Single Specialty
No207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary DiseaseGroup - Single Specialty
No208M00000XAllopathic & Osteopathic PhysiciansHospitalistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAGR0025650Medicaid
CACR0969OtherMEDICARE RR
CAGR0025650Medicaid