Healthcare Provider Details
I. General information
NPI: 1497024095
Provider Name (Legal Business Name): COMPREHENSIVE MEDICAL EVALUATIONS
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 12/28/2011
Last Update Date: 12/28/2011
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
87 SCRIPPS DR 216
SACRAMENTO CA
95825-6372
US
IV. Provider business mailing address
87 SCRIPPS DR 216
SACRAMENTO CA
95825-6372
US
V. Phone/Fax
- Phone: 916-567-3411
- Fax:
- Phone: 916-567-3411
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 173000000X |
| Taxonomy | Legal Medicine |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: MR.
TERENCE
P
DOYLE
Title or Position: ADMINISTRATOR
Credential:
Phone: 916-567-3411