Provider Demographics
NPI:1417213562
Name:CONSUMERHEALTH, INC.
Entity Type:Organization
Organization Name:CONSUMERHEALTH, INC.
Other - Org Name:NEWPORT DENTAL - LA VERNE (ORTHO)
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:LORILEE
Authorized Official - Middle Name:
Authorized Official - Last Name:SCHMIDT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:714-578-6358
Mailing Address - Street 1:100 SPECTRUM CENTER DRIVE
Mailing Address - Street 2:SUITE 1500
Mailing Address - City:IRVINE
Mailing Address - State:CA
Mailing Address - Zip Code:92618-3066
Mailing Address - Country:US
Mailing Address - Phone:714-578-6358
Mailing Address - Fax:
Practice Address - Street 1:2497 FOOTHILL BLVD
Practice Address - Street 2:STE E
Practice Address - City:LA VERNE
Practice Address - State:CA
Practice Address - Zip Code:91750-3066
Practice Address - Country:US
Practice Address - Phone:909-451-0329
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:CONSUMERHEALTH, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2012-04-03
Last Update Date:2017-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial OrthopedicsGroup - Single Specialty