Healthcare Provider Details

I. General information

NPI: 1598138133
Provider Name (Legal Business Name): CONSUMERHEALTH, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/04/2015
Last Update Date: 10/11/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

42250 JACKSON ST STE 102
INDIO CA
92203-9783
US

IV. Provider business mailing address

100 IRVINE CENTER DRIVE SUITE 1500
IRVINE CA
92618
US

V. Phone/Fax

Practice location:
  • Phone: 760-238-4011
  • Fax: 760-347-5084
Mailing address:
  • Phone: 714-578-6358
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1223X0400X
TaxonomyOrthodontics and Dentofacial Orthopedics Dentistry
License Number32504
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number32504
License Number StateCA

VIII. Authorized Official

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