Healthcare Provider Details
I. General information
NPI: 1225496003
Provider Name (Legal Business Name): CONSUMERHEALTH, INC.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 02/08/2016
Last Update Date: 10/09/2017
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
3358 S BRISTOL ST
SANTA ANA CA
92704-8202
US
IV. Provider business mailing address
100 SPECTRUM CENTER DR STE 1500
IRVINE CA
92618-4984
US
V. Phone/Fax
- Phone: 714-361-2141
- Fax:
- Phone: 714-578-6358
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 1223D0001X |
| Taxonomy | Public Health Dentistry |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: MRS.
LORILEE
SCHMIDT
Title or Position: PRESIDENT
Credential:
Phone: 714-578-6358