Healthcare Provider Details

I. General information

NPI: 1295118362
Provider Name (Legal Business Name): CHEST AND CRITICAL CARE CONSULTANTS, A MEDICAL GROUP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/07/2015
Last Update Date: 07/07/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1075 YORBA PL SUITE 205
PLACENTIA CA
92870-3152
US

IV. Provider business mailing address

1211 W LA PALMA AVE SUITE 207
ANAHEIM CA
92801-2815
US

V. Phone/Fax

Practice location:
  • Phone: 714-836-6800
  • Fax: 714-836-9966
Mailing address:
  • Phone: 714-772-8282
  • Fax: 714-772-6493

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RP1001X
TaxonomyPulmonary Disease Physician
License NumberA6653
License Number StateCA

VIII. Authorized Official

Name: DR. DEVANG SAVANI
Title or Position: SENIOR PARTNER
Credential: MD
Phone: 714-836-6800