Organization
AMERICAN CRITICAL CARE CONSULTANTS CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VIMAL J PONNEZHAN MD (CEO)
(310) 422-3000
Entity
Organization
Contact information
Practice address
4081 E OLYMPIC BLVD, LOS ANGELES, CA 90023-3330
(323) 267-0477
Mailing address
3579 E FOOTHILL BLVD STE 432, PASADENA, CA 91107-3119
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
Primary
—
—
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
—
—
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
—
—
207RP1001X
Pulmonary Disease Physician
—
—
Other
Enumeration date
08/24/2022
Last updated
01/24/2025
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