MEDICARE: ANAHEIM PULMONARY & CRITICAL CARE GROUP INC

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RP1001X	Pulmonary Disease Physician

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	:	1366574477
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ANAHEIM PULMONARY & CRITICAL CARE GROUP INC

Provider Business Mailing Address
First Line	:	3400 W BALL RD STE 212
Second Line	:
City	:	ANAHEIM
State	:	CA
Zip	:	92804-3737
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3400 W BALL RD STE 212
Second Line	:
City	:	ANAHEIM
State	:	CA
Zip	:	92804-3737
Country	:	US
Telephone Number	:	714-527-1000
Fax Number	:

Authorized Official
Title or Position	:	OFFICER
Name	:	DILIP PATEL
Credential	:	MD
Telephone Number	:	714-527-1000

Provider Enumeration Date	:	03/12/2007
Last Update Date	:	10/10/2019

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Directions to “ANAHEIM PULMONARY & CRITICAL CARE GROUP INC ” Practice Location

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