Healthcare Provider Details

I. General information

NPI: 1851169031
Provider Name (Legal Business Name): CMD ASSOCIATES INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/18/2023
Last Update Date: 12/18/2023
Certification Date: 12/16/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1070 HORIZON DR STE N
FAIRFIELD CA
94533-1604
US

IV. Provider business mailing address

1070 HORIZON DR STE N
FAIRFIELD CA
94533-1604
US

V. Phone/Fax

Practice location:
  • Phone: 707-344-9896
  • Fax:
Mailing address:
  • Phone: 707-344-9896
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code342000000X
TaxonomyTransportation Network Company
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code347E00000X
TaxonomyTransportation Broker
License Number
License Number State

VIII. Authorized Official

Name: ROYCE S GOREE
Title or Position: CEO
Credential:
Phone: 707-344-9896