Healthcare Provider Details

I. General information

NPI: 1285921668
Provider Name (Legal Business Name): CONSUMERHEALTH, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/06/2011
Last Update Date: 10/09/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

18633 BROOKHURST ST
FOUNTAIN VALLEY CA
92708-6748
US

IV. Provider business mailing address

100 SPECTRUM CENTER DRIVE SUITE 1500
IRVINE CA
92618-6748
US

V. Phone/Fax

Practice location:
  • Phone: 714-274-4222
  • Fax: 714-964-5240
Mailing address:
  • Phone: 714-578-6358
  • Fax: 714-964-5240

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223X0400X
TaxonomyOrthodontics and Dentofacial Orthopedics Dentistry
License Number
License Number State

VIII. Authorized Official

Name: MRS. LORILEE SCHMIDT
Title or Position: PRESIDENT
Credential:
Phone: 714-578-6358