# BE WELL COLLABORATIVE CARE CENTER

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Be Well Collaborative Care of Aliso Viejo
- **Organization subpart:** No

## Provider details

- **NPI number:** 1740727932
- **Authorized official:** DR. SANJIVAN KOHLI M.D. (MEDICAL DIRECTOR)
- **Authorized official phone:** (949) 373-6288

## Contact information

- **Practice address:** 24541 PACIFIC PARK DR, SUITE 109, ALISO VIEJO, CA 92656-3065
- **Practice address phone:** (949) 427-0999
- **Practice address fax:** (949) 446-0585
- **Mailing address:** 24541 PACIFIC PARK DR, SUITE 109, ALISO VIEJO, CA 92656-3065
- **Mailing address phone:** (949) 427-0999
- **Mailing address fax:** (949) 446-0585

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RP1001X | Pulmonary Disease Physician | — | NULL | — |
| 207RP1001X | Pulmonary Disease Physician | — | — | — |
| 207RS0012X | Sleep Medicine (Internal Medicine) Physician | A109968 | CA | Yes |
| 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