SUNOL HILLS LLC NPI 1558097279

NPI Information

  • NPI: 1558097279
  • Provider Name: SUNOL HILLS LLC
  • Classification: Pediatrics - 2080A0000X
  • Specialization: Adolescent Medicine
  • Entity Type: Organization
  • Doing Business As: MID-PENINSULA EATING DISORDER CLINIC
  • Address: 21721 GRANADA AVE
    CUPERTINO, CA
    ZIP 95014
  • Phone: (650) 319-7225

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NPI Details

SUNOL HILLS LLC is an adolescent medicine pediatrics in Cupertino, CA. The provider is 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. SUNOL HILLS LLC NPI is 1558097279. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Mid-peninsula Eating Disorder Clinic.

The provider's business location address is:

21721 GRANADA AVE
CUPERTINO, CA
ZIP 95014-934
Phone: (650) 319-7225

The provider's authorized official is Harmohinder Singh Athwal .
The authorized official title is Owner and has the following contact phone number (510) 651-5808.

The enumeration date for this NPI number is 7/26/2022 and was last updated on 2/22/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YM0800XCounselorMental HealthNo
2106H00000XMarriage & Family TherapistNo
3133V00000XDietitian, RegisteredNo
42084P0800XPsychiatry & NeurologyPsychiatryNo
52084P0804XPsychiatry & NeurologyChild & Adolescent PsychiatryNo
62080A0000XPediatricsAdolescent MedicineYes

What is NPI?

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This page was last updated on: 11/21/2025

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