Provider Demographics
NPI:1679787550
Name:CHEST AND CRITICAL CARE CONSULTANTS A MEDICAL GROUP
Entity type:Organization
Organization Name:CHEST AND CRITICAL CARE CONSULTANTS A MEDICAL GROUP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:
Authorized Official - First Name:DEVANG
Authorized Official - Middle Name:
Authorized Official - Last Name:SAVANI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:714-577-9500
Mailing Address - Street 1:PO BOX 15090
Mailing Address - Street 2:
Mailing Address - City:ANAHEIM
Mailing Address - State:CA
Mailing Address - Zip Code:92803-5090
Mailing Address - Country:US
Mailing Address - Phone:714-577-2124
Mailing Address - Fax:714-577-2125
Practice Address - Street 1:14350 WHITTIER BLVD STE 315
Practice Address - Street 2:
Practice Address - City:WHITTIER
Practice Address - State:CA
Practice Address - Zip Code:90605-2150
Practice Address - Country:US
Practice Address - Phone:562-464-2163
Practice Address - Fax:562-945-7737
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:CHEST AND CRITICAL CARE CONSULTANTS
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2007-05-09
Last Update Date:2023-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA207R00000X, 207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary DiseaseGroup - Multi-Specialty
No207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CACR0969OtherMEDICARE RR
CAGR0025655Medicaid
CAW7183DMedicare PIN