MEDICARE: CHEST AND CRITICAL CARE CONSULTANTS

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	207R00000X	Internal Medicine Physician
2	207RC0200X	Critical Care Medicine (Internal Medicine) Physician
3	207RP1001X	Pulmonary Disease Physician

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	CR0969	OTHER	CA	MEDICARE RR PROVIDER

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1023105269
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CHEST AND CRITICAL CARE CONSULTANTS

Provider Business Mailing Address
First Line	:	PO BOX 15090
Second Line	:
City	:	ANAHEIM
State	:	CA
Zip	:	92803-5090
Country	:	US
Telephone Number	:	714-772-8282
Fax Number	:	714-772-6493

Provider Business Practice Location Address
First Line	:	1325 N ROSE DR
Second Line	:	SUITE 208
City	:	PLACENTIA
State	:	CA
Zip	:	92870-3840
Country	:	US
Telephone Number	:	714-203-1283
Fax Number	:	714-579-1500

Authorized Official
Title or Position	:	SR MANAGING PARTNER
Name	:	DR. HARMOHINDER S GOGIA
Credential	:	M.D.
Telephone Number	:	714-772-8282

Provider Enumeration Date	:	10/09/2006
Last Update Date	:	04/19/2012

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Directions to “CHEST AND CRITICAL CARE CONSULTANTS ” Practice Location

Language	Start Address	Practice Location

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