Healthcare Provider Details

I. General information

NPI: 1710763925
Provider Name (Legal Business Name): COMPREHENSIVE HEALTH LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/04/2023
Last Update Date: 10/29/2023
Certification Date: 10/29/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1005 TERMINAL WAY STE 135
RENO NV
89502-2197
US

IV. Provider business mailing address

PO BOX 11015
ZEPHYR COVE NV
89448-3015
US

V. Phone/Fax

Practice location:
  • Phone: 225-773-0473
  • Fax: 225-269-8284
Mailing address:
  • Phone: 225-773-0473
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207LP2900X
TaxonomyPain Medicine (Anesthesiology) Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207QH0002X
TaxonomyHospice and Palliative Medicine (Family Medicine) Physician
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code208800000X
TaxonomyUrology Physician
License Number
License Number State
# 5
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. SANDRA ROCHELLE WEITZ
Title or Position: OWNER
Credential: MD
Phone: 225-773-0473