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MID-PENINSULA EATING DISORDER CLINIC
NPI 1558097279
Pediatrics - Adolescent Medicine in Cupertino, CA

Active since July 26, 2022
21721 GRANADA AVE, CUPERTINO, CA 95014(650) 319-7225 Get Directions Write a Review

NPPES record last updated: February 22, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Feb 22, 2023, Jul 26, 2022 (2 updates tracked since 2022).

About Mid-peninsula Eating Disorder Clinic NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MID-PENINSULA EATING DISORDER CLINIC (NPI 1558097279) is a healthcare organization registered as an adolescent medicine in Cupertino, California and active in the NPI registry since July 2022. The organization lists Harmohinder Singh Athwal, Owner, as its authorized official.

NPPES Registry Identity

NPI1558097279
Entity TypeOrganization
Primary Taxonomy2080A0000X
Legal Business NameSUNOL HILLS LLC
Location Address21721 GRANADA AVECupertino, CA 95014-5934
Mailing Address23 Carver LnSunol, CA 94586-9441
Phone(650) 319-7225
Organization SubpartYes
Authorized OfficialHarmohinder Singh AthwalOwner · (510) 651-5808
Enumeration DateJuly 26, 2022
Last NPPES UpdateFebruary 22, 20232 updates tracked since enumeration
NPPES CertifiedFebruary 22, 2023
✔ NPI 1558097279 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 6

★ Primary SpecialtyPediatrics · Adolescent MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080A0000X
Definition
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.
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X
Also ListedMarriage & Family TherapistTaxonomy 106H00000X
Also ListedDietitian, RegisteredTaxonomy 133V00000X
Also ListedPsychiatry & Neurology · PsychiatryTaxonomy 2084P0800X
Also ListedPsychiatry & Neurology · Child & Adolescent PsychiatryTaxonomy 2084P0804X
21721 GRANADA AVE, Cupertino, CA 95014
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Other Names 1

Doing Business AsMid-peninsula Eating Disorder Clinic

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

IRINI S KABITSIS
Dietitian, Registered
21721 GRANADA AVE
CUPERTINO, CA 95014
Santa Clara County (650) 701-6718
SARAH JURGENS RD
Dietitian, Registered
21721 GRANADA AVE
CUPERTINO, CA 95014
Santa Clara County (415) 310-9825
HOHL NUTRITION GROUP
Dietitian, Registered
21721 GRANADA AVE
CUPERTINO, CA 95014
Santa Clara County (918) 407-9078
HEATHER HOHL
Dietitian, Registered
21721 GRANADA AVE
CUPERTINO, CA 95014
Santa Clara County (918) 407-9078

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Sunol Hills LLC's NPI number?

The NPI number for Sunol Hills LLC is 1558097279. It was assigned to this organization in the NPPES registry on July 26, 2022. The provider is doing business as Mid-Peninsula Eating Disorder Clinic.

Where is Sunol Hills LLC located?

Sunol Hills LLC is located at 21721 Granada Ave, Cupertino, CA 95014. The listed phone number is (650) 319-7225.

What is Sunol Hills LLC's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Adolescent Medicine, with taxonomy code 2080A0000X.

When was this NPI record last updated?

The NPPES record for Sunol Hills LLC was last updated on February 22, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.