Healthcare Provider Details

I. General information

NPI: 1376326157
Provider Name (Legal Business Name): MILANI HEALTH
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/16/2023
Last Update Date: 07/15/2026
Certification Date: 07/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3900 BIRCH ST STE 113
NEWPORT BEACH CA
92660-2226
US

IV. Provider business mailing address

3900 BIRCH ST STE 113
NEWPORT BEACH CA
92660-2226
US

V. Phone/Fax

Practice location:
  • Phone: 941-883-1945
  • Fax:
Mailing address:
  • Phone: 941-883-1945
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103TC1900X
TaxonomyCounseling Psychologist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code133N00000X
TaxonomyNutritionist
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code207RA0201X
TaxonomyAllergy & Immunology (Internal Medicine) Physician
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code2083P0901X
TaxonomyPublic Health & General Preventive Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. SANJAI MATHEW THANKACHEN
Title or Position: MEDICAL DIRECTOR
Credential: MD
Phone: 714-782-4700