Healthcare Provider Details

I. General information

NPI: 1215442280
Provider Name (Legal Business Name): CALMED EVALUATION SERVICES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/12/2017
Last Update Date: 12/12/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11010 WHITE ROCK RD STE 120
RANCHO CORDOVA CA
95670-6363
US

IV. Provider business mailing address

11010 WHITE ROCK RD STE 120
RANCHO CORDOVA CA
95670-6363
US

V. Phone/Fax

Practice location:
  • Phone: 916-920-2272
  • Fax: 916-920-2515
Mailing address:
  • Phone: 916-920-2272
  • Fax: 916-920-2515

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code209800000X
TaxonomyLegal Medicine (M.D./D.O.) Physician
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code173000000X
TaxonomyLegal Medicine
License Number
License Number State

VIII. Authorized Official

Name: MR. TODD BALDINI
Title or Position: REGIONAL VICE PRESIDENT
Credential:
Phone: 916-403-1781