| NPI | 1740727932 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SANJIVAN KOHLI Medical Director 949-373-6288 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RS0012X Internal Medicine Sleep Medicine (Licence: CA A109968) |
| Additional Taxonomies | 207RP1001X Internal Medicine Pulmonary Disease |
| 207RS0012X Internal Medicine Sleep Medicine | |
| 207Y00000X Otolaryngology | |
| 207YS0012X Otolaryngology Sleep Medicine | |
| 208000000X Pediatrics | |
| 2080P0006X Pediatrics Developmental - Behavioral Pediatrics | |
| 2080S0012X Pediatrics Sleep Medicine | |
| 2084S0012X Psychiatry & Neurology Sleep Medicine | |
| Enumeration Date | 2017-01-25 |
| Last Update Date | 2017-02-14 |