Healthcare Provider Details
I. General information
NPI: 1669844593
Provider Name (Legal Business Name): CONSUMERHEALTH, INC.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 10/30/2015
Last Update Date: 10/09/2017
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
9918 ATLANTIC AVENEUE
SOUTH GATE CA
90280
US
IV. Provider business mailing address
100 SPECTRUM CENTER DRIVE SUITE 1500
IRVINE CA
92618-3298
US
V. Phone/Fax
- Phone: 323-567-1227
- Fax: 323-567-2181
- 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:
LORILEE
SCHMIDT
Title or Position: PRESIDENT
Credential:
Phone: 714-578-6358