Provider Demographics
NPI:1497910715
Name:CHRONOHEALTH LLC
Entity Type:Organization
Organization Name:CHRONOHEALTH LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT / CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:W.
Authorized Official - Middle Name:PAUL
Authorized Official - Last Name:SULLIVAN
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:805-290-4959
Mailing Address - Street 1:5917 OLIVAS PARK DR
Mailing Address - Street 2:SUITE F
Mailing Address - City:VENTURA
Mailing Address - State:CA
Mailing Address - Zip Code:93003-7606
Mailing Address - Country:US
Mailing Address - Phone:805-290-4959
Mailing Address - Fax:805-650-1859
Practice Address - Street 1:5917 OLIVAS PARK DR
Practice Address - Street 2:SUITE F
Practice Address - City:VENTURA
Practice Address - State:CA
Practice Address - Zip Code:93003-7606
Practice Address - Country:US
Practice Address - Phone:805-290-4959
Practice Address - Fax:805-650-1859
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-07-25
Last Update Date:2008-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CASRAR101059079332900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332900000XSuppliersNon-Pharmacy Dispensing Site