Provider Demographics
NPI:1023063492
Name:PULMONARY CRITICAL CARE ASSOCIATES INC.
Entity type:Organization
Organization Name:PULMONARY CRITICAL CARE ASSOCIATES INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:GURDIP
Authorized Official - Middle Name:SINGH
Authorized Official - Last Name:FLORA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:805-583-4111
Mailing Address - Street 1:2925 N SYCAMORE DR
Mailing Address - Street 2:SUITE # 306
Mailing Address - City:SIMI VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:93065
Mailing Address - Country:US
Mailing Address - Phone:805-583-4111
Mailing Address - Fax:805-583-2041
Practice Address - Street 1:2925 N SYCAMORE DR
Practice Address - Street 2:SUITE # 306
Practice Address - City:SIMI VALLEY
Practice Address - State:CA
Practice Address - Zip Code:93065
Practice Address - Country:US
Practice Address - Phone:805-583-4111
Practice Address - Fax:805-583-2041
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-24
Last Update Date:2010-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA43194207RP1001X, 207RC0200X, 207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
No207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary DiseaseGroup - Single Specialty
No207RC0200XAllopathic & Osteopathic PhysiciansInternal MedicineCritical Care MedicineGroup - Single Specialty