MEDICARE: CONSUMERHEALTH INCORPORATED

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	122300000X	Dentist	32504	CA

General Provider Information

NPI Number	:	1952774598
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CONSUMERHEALTH INCORPORATED

Provider Business Mailing Address
First Line	:	100 SPECTRUM CENTER DR STE 1500
Second Line	:
City	:	IRVINE
State	:	CA
Zip	:	92618-4984
Country	:	US
Telephone Number	:	714-578-6358
Fax Number	:

Provider Business Practice Location Address
First Line	:	8611 S SEPULVEDA BLVD
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90045-4001
Country	:	US
Telephone Number	:	310-846-0172
Fax Number	:	310-348-9074

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MRS. LORILEE SCHMIDT
Credential	:
Telephone Number	:	714-578-6358

Provider Enumeration Date	:	11/04/2015
Last Update Date	:	09/25/2017

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Directions to “CONSUMERHEALTH INCORPORATED ” Practice Location

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