Organization
REDWOOD SLEEP AND PULMONARY CARE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HARJOTH MALLI MD (OWNER)
(415) 450-5921
Entity
Organization
Contact information
Practice address
202 W WILLOW AVE, SUITE 103, VISALIA, CA 93291-6238
(559) 732-0762
Mailing address
PO BOX 6403, VISALIA, CA 93290-6403
(559) 732-0762
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
A97851
CA
207RP1001X
Pulmonary Disease Physician
A97851
CA
207RS0012X
Sleep Medicine (Internal Medicine) Physician
Primary
A97851
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
FG022A
MEDICARE UPIN
CA
Enumeration date
05/17/2011
Last updated
06/14/2013
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