Healthcare Provider Details

I. General information

NPI: 1003684846
Provider Name (Legal Business Name): MEDICAL HEALTH COVERS INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/12/2023
Last Update Date: 01/10/2024
Certification Date: 01/10/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1611 S CATALINA AVE STE L70
REDONDO BEACH CA
90277-5296
US

IV. Provider business mailing address

1611 S CATALINA AVE STE L70
REDONDO BEACH CA
90277-5296
US

V. Phone/Fax

Practice location:
  • Phone: 877-811-4331
  • Fax: 310-928-9953
Mailing address:
  • Phone: 877-811-4331
  • Fax: 310-928-9953

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: JOHN SIMMONDS
Title or Position: PRESIDENT/PHYSICIAN
Credential: MD
Phone: 877-811-4331