Provider Demographics
NPI:1457725715
Name:MED-LEGAL LLC
Entity Type:Organization
Organization Name:MED-LEGAL LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COMPLIANCE AND OPERATIONS ARCHITECT
Authorized Official - Prefix:
Authorized Official - First Name:DAN
Authorized Official - Middle Name:R
Authorized Official - Last Name:JAKLE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:800-244-3495
Mailing Address - Street 1:955 OVERLAND CT
Mailing Address - Street 2:
Mailing Address - City:SAN DIMAS
Mailing Address - State:CA
Mailing Address - Zip Code:91773-1746
Mailing Address - Country:US
Mailing Address - Phone:800-244-3495
Mailing Address - Fax:
Practice Address - Street 1:955 OVERLAND CT
Practice Address - Street 2:
Practice Address - City:SAN DIMAS
Practice Address - State:CA
Practice Address - Zip Code:91773-1746
Practice Address - Country:US
Practice Address - Phone:800-244-3495
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:LEGAL SOLUTIONS HOLDING INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2015-11-23
Last Update Date:2015-11-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA171W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171W00000XOther Service ProvidersContractorGroup - Single Specialty