NPI Code Details Logo

NPI 1447209218

NPI 1447209218 : AMY MEOLI MD : PALM DESERT, CA

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1447209218
-----------------------------------------------------
    Entity Type          |    Individual 
-----------------------------------------------------
    Provider Name        |    AMY MEOLI MD
-----------------------------------------------------
    Gender               |    Female 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    05/09/2006
-----------------------------------------------------
    Last Update Date     |    12/11/2025
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    41990 COOK ST STE 102 
-----------------------------------------------------
    City                 |    PALM DESERT
-----------------------------------------------------
    State                |    CA
-----------------------------------------------------
    Zip                  |    92211-6101
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    760-773-1411
-----------------------------------------------------
    Fax                  |    760-773-4398
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    1514 JEFFERSON HWY 
-----------------------------------------------------
    City                 |    NEW ORLEANS
-----------------------------------------------------
    State                |    LA
-----------------------------------------------------
    Zip                  |    70121-2429
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    504-842-4000
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    
-----------------------------------------------------
    Name                 |        
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    207RS0012X
-----------------------------------------------------
    Taxonomy Name        |    Sleep Medicine (Internal Medicine) Physician
-----------------------------------------------------
    License Number       |    321309
-----------------------------------------------------
    License Number State |    LA
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
    Taxonomy Code        |    207RS0012X
-----------------------------------------------------
    Taxonomy Name        |    Sleep Medicine (Internal Medicine) Physician
-----------------------------------------------------
    License Number       |    G193453
-----------------------------------------------------
    License Number State |    CA
-----------------------------------------------------
Taxonomy #3
-----------------------------------------------------
    Taxonomy Code        |    363A00000X
-----------------------------------------------------
    Taxonomy Name        |    Physician Assistant
-----------------------------------------------------
    License Number       |    U2269
-----------------------------------------------------
    License Number State |    TX
-----------------------------------------------------
Taxonomy #4
-----------------------------------------------------
    Taxonomy Code        |    207RS0012X
-----------------------------------------------------
    Taxonomy Name        |    Sleep Medicine (Internal Medicine) Physician
-----------------------------------------------------
    License Number       |    MD060081L
-----------------------------------------------------
    License Number State |    PA
-----------------------------------------------------
Taxonomy #5
-----------------------------------------------------
    Taxonomy Code        |    207RP1001X
-----------------------------------------------------
    Taxonomy Name        |    Pulmonary Disease Physician
-----------------------------------------------------
    License Number       |    MD060081L
-----------------------------------------------------
    License Number State |    PA
-----------------------------------------------------



                        

Copyright © 2007-2025 Data Labs Health. All rights reserved.