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Organization
BE WELL COLLABORATIVE CARE CENTER
Active
Organization
BE WELL COLLABORATIVE CARE CENTER
Active
Other names
Be Well Collaborative Care of Aliso Viejo
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SANJIVAN KOHLI M.D. (MEDICAL DIRECTOR)
(949) 373-6288
Entity
Organization
Contact information
Practice address
24541 PACIFIC PARK DR, SUITE 109, ALISO VIEJO, CA 92656-3065
(949) 427-0999
(949) 446-0585
Mailing address
24541 PACIFIC PARK DR, SUITE 109, ALISO VIEJO, CA 92656-3065
(949) 427-0999
(949) 446-0585
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
—
NULL
207RP1001X
Pulmonary Disease Physician
—
—
207RS0012X
Sleep Medicine (Internal Medicine) Physician
Primary
A109968
CA
207RS0012X
Sleep Medicine (Internal Medicine) Physician
—
NULL
207RS0012X
Sleep Medicine (Internal Medicine) Physician
—
—
207Y00000X
Otolaryngology Physician
—
NULL
207Y00000X
Otolaryngology Physician
—
—
207YS0012X
Sleep Medicine (Otolaryngology) Physician
—
NULL
207YS0012X
Sleep Medicine (Otolaryngology) Physician
—
—
208000000X
Pediatrics Physician
—
NULL
208000000X
Pediatrics Physician
—
—
2080P0006X
Developmental - Behavioral Pediatrics Physician
—
NULL
2080P0006X
Developmental - Behavioral Pediatrics Physician
—
—
2080S0012X
Pediatric Sleep Medicine Physician
—
NULL
2080S0012X
Pediatric Sleep Medicine Physician
—
—
2084S0012X
Sleep Medicine (Psychiatry & Neurology) Physician
—
NULL
2084S0012X
Sleep Medicine (Psychiatry & Neurology) Physician
—
—
Other
Enumeration date
01/25/2017
Last updated
02/14/2017
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