Individual
SANJIVAN SINGH KOHLI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
30230 RANCHO VIEJO RD, SUITE 200, SAN JUAN CAPISTRANO, CA 92675-1557
(949) 443-4303
(949) 443-4033
Mailing address
PO BOX 7087, ORANGE, CA 92863-7087
(714) 571-5000
(714) 571-5055
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
A109968
CA
Other
Enumeration date
09/11/2009
Last updated
04/22/2021
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