Healthcare Provider Details

I. General information

NPI: 1952774598
Provider Name (Legal Business Name): CONSUMERHEALTH INCORPORATED
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/04/2015
Last Update Date: 09/25/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8611 S SEPULVEDA BLVD
LOS ANGELES CA
90045-4001
US

IV. Provider business mailing address

100 SPECTRUM CENTER DR STE 1500
IRVINE CA
92618-4984
US

V. Phone/Fax

Practice location:
  • Phone: 310-846-0172
  • Fax: 310-348-9074
Mailing address:
  • Phone: 714-578-6358
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
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