Healthcare Provider Details

I. General information

NPI: 1457885840
Provider Name (Legal Business Name): MEDICAL LEGAL EVALUATORS, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/12/2017
Last Update Date: 04/12/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2970 HILLTOP MALL RD STE 101
RICHMOND CA
94806-1948
US

IV. Provider business mailing address

2970 HILLTOP MALL RD STE 101
RICHMOND CA
94806-1948
US

V. Phone/Fax

Practice location:
  • Phone: 855-779-2763
  • Fax: 855-779-2763
Mailing address:
  • Phone: 855-779-2763
  • Fax: 855-779-2763

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code173000000X
TaxonomyLegal Medicine
License Number
License Number State

VIII. Authorized Official

Name: VLADIMIR BOKARIUS
Title or Position: MEDICAL DIRECTOR
Credential: MD
Phone: 855-779-2763