Provider Demographics
NPI:1487982740
Name:MEDICAL EXPERT NETWORK
Entity type:Organization
Organization Name:MEDICAL EXPERT NETWORK
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:CRISTINA
Authorized Official - Middle Name:DEVI
Authorized Official - Last Name:PETERSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:888-748-4057
Mailing Address - Street 1:110 OAK RIM CT
Mailing Address - Street 2:SUITE 51
Mailing Address - City:LOS GATOS
Mailing Address - State:CA
Mailing Address - Zip Code:95032-3472
Mailing Address - Country:US
Mailing Address - Phone:888-748-4057
Mailing Address - Fax:888-748-4057
Practice Address - Street 1:110 OAK RIM CT
Practice Address - Street 2:SUITE 51
Practice Address - City:LOS GATOS
Practice Address - State:CA
Practice Address - Zip Code:95032-3472
Practice Address - Country:US
Practice Address - Phone:888-748-4057
Practice Address - Fax:888-748-4057
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-11-25
Last Update Date:2009-11-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management