Healthcare Provider Details

I. General information

NPI: 1134856354
Provider Name (Legal Business Name): REZOLV HEALTH MEDICAL GROUP INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/07/2022
Last Update Date: 08/07/2022
Certification Date: 08/07/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9000 CROW CANYON RD STE S360
DANVILLE CA
94506-1189
US

IV. Provider business mailing address

9000 CROW CANYON RD STE S360
DANVILLE CA
94506-1189
US

V. Phone/Fax

Practice location:
  • Phone: 650-438-8983
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: AJAINDER SHERGILL
Title or Position: OWNER
Credential: DO
Phone: 650-438-8983