Provider Demographics
NPI:1861976235
Name:TELEDOCS, INC
Entity type:Organization
Organization Name:TELEDOCS, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:TRISTAN
Authorized Official - Middle Name:
Authorized Official - Last Name:SCHUKRAFT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-231-0751
Mailing Address - Street 1:1521 ALTON RD STE 463
Mailing Address - Street 2:
Mailing Address - City:MIAMI BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33139-3301
Mailing Address - Country:US
Mailing Address - Phone:747-322-0060
Mailing Address - Fax:
Practice Address - Street 1:8350 SANTA MONICA BLVD APT 312
Practice Address - Street 2:
Practice Address - City:WEST HOLLYWOOD
Practice Address - State:CA
Practice Address - Zip Code:90069-4488
Practice Address - Country:US
Practice Address - Phone:747-322-0060
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-09-20
Last Update Date:2018-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Single Specialty