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General NPI Number Information
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NPI Number | 1124364286
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Entity Type | Organization
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Legal Business Name | SPECIALITY HOSPITALIST INC
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Dates
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Enumeration Date | 12/18/2012
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Last Update Date | 06/14/2013
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Provider Practice Location Address
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Address Line | 215 W JANSS RD
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City | THOUSAND OAKS
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State | CA
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Zip | 91360-1847
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Country | US
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Telephone | 805-497-3585
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Fax | 805-497-1313
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Provider Business Mailing Address
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Address Line | 227 W JANSS RD SUITE 360
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City | THOUSAND OAKS
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State | CA
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Zip | 91360-1848
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Country | US
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Telephone | 805-497-3585
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Fax | 805-497-1313
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Authorized Official
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Title or Position | OWNER
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Name | SANJIV GOEL
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Credential | M.D.
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Telephone | 805-497-3585
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number |
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License Number State | CA
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