CROSSOVER HEALTH MEDICAL GROUP NPI 1548543572

NPI Information

CROSSOVER HEALTH MEDICAL GROUP is a specialist in Cupertino, CA. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. CROSSOVER HEALTH MEDICAL GROUP NPI is 1548543572. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

20730 VALLEY GREEN DR
APPLE WELLNESS CENTER CUPERTINO
CUPERTINO, CA
ZIP 95014-704
Phone: (949) 891-0328
Fax: (949) 272-0159

The provider's authorized official is Scott Lyman Shreeve .
The authorized official title is Owner Ceo and has the following contact phone number (949) 891-0328.

The CLIA number assigned to this NPI record is 05D2217052 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/26/2011 and was last updated on 5/10/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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