Healthcare Provider Details

I. General information

NPI: 1518176353
Provider Name (Legal Business Name): CONSUMERHEALTH, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/21/2007
Last Update Date: 10/09/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

79255 HWY 111 #1A
LA QUINTA CA
92253
US

IV. Provider business mailing address

100 SPECTRUM CENTER DRIVE SUITE 1500
IRVINE CA
92618
US

V. Phone/Fax

Practice location:
  • Phone: 760-771-1200
  • Fax:
Mailing address:
  • Phone: 714-578-6358
  • Fax:

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