Provider Demographics
NPI:1508495532
Name:MEDEXPERT INTERNATIONAL, INC.
Entity Type:Organization
Organization Name:MEDEXPERT INTERNATIONAL, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:MARY
Authorized Official - Middle Name:R
Authorized Official - Last Name:HILLER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:650-326-6000
Mailing Address - Street 1:PO BOX 7550
Mailing Address - Street 2:
Mailing Address - City:MENLO PARK
Mailing Address - State:CA
Mailing Address - Zip Code:94026-7550
Mailing Address - Country:US
Mailing Address - Phone:650-326-6000
Mailing Address - Fax:
Practice Address - Street 1:1300 HANCOCK ST
Practice Address - Street 2:
Practice Address - City:REDWOOD CITY
Practice Address - State:CA
Practice Address - Zip Code:94063-2809
Practice Address - Country:US
Practice Address - Phone:650-326-6000
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-04-02
Last Update Date:2020-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service
No163WC0400XNursing Service ProvidersRegistered NurseCase ManagementGroup - Single Specialty
No251B00000XAgenciesCase Management
No251K00000XAgenciesPublic Health or WelfareGroup - Single Specialty
No251S00000XAgenciesCommunity/Behavioral Health
No261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care