Organization · Type 2 NPI

Sunol Hills LLC

Pediatric Adolescent Medicine Physician · Cupertino, CA

NPI number 1558097279 Active

Practice location

21721 Granada Ave
Cupertino, CA 95014-5934

Call (650) 319-7225 Map

Mailing address

23 Carver Ln
Sunol, CA 94586-9441

Specialties and licenses

Taxonomy	Code	License
Mental Health Counselor	101YM0800X	None listed
Marriage & Family Therapist	106H00000X	None listed
Registered Dietitian	133V00000X	None listed
Pediatric Adolescent Medicine Physician Primary	2080A0000X	None listed
Psychiatry Physician	2084P0800X	None listed
Child & Adolescent Psychiatry Physician	2084P0804X	None listed

Pediatric Adolescent Medicine Physician: A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.

4 other providers at this address

NPI record

NPI: 1558097279
Entity type: Organization (Type 2)
Issued: Jul 26, 2022
Last updated: Feb 22, 2023
Status: Active
Subpart: Yes of Sunol Hills LLC

Other names

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Mid-Peninsula Eating Disorder Clinic · doing business as
Mid-Peninsula Eating Disorder Clinic · doing business as

Authorized official

Dr. Harmohinder Singh Athwal, MD
Owner
(510) 651-5808

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1558097279

Sunol Hills LLC's National Provider Identifier is 1558097279, issued on Jul 26, 2022. The primary taxonomy on file is Pediatric Adolescent Medicine Physician (2080A0000X), and the practice location is in Cupertino, CA. The record was last updated on Feb 22, 2023.