Healthcare Provider Details

I. General information

NPI: 1760005250
Provider Name (Legal Business Name): ALCHEME HEALTH
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/19/2020
Last Update Date: 05/19/2020
Certification Date: 05/19/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2308 KETTNER BLVD
SAN DIEGO CA
92101-1283
US

IV. Provider business mailing address

2308 KETTNER BLVD
SAN DIEGO CA
92101-1283
US

V. Phone/Fax

Practice location:
  • Phone: 619-304-5734
  • Fax:
Mailing address:
  • Phone: 619-304-5734
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QI0500X
TaxonomyInfusion Therapy Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: ROGER SCHECHTER
Title or Position: PRESIDENT
Credential: MD
Phone: 619-501-6523