Organization
CROSSOVER HEALTH MEDICAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SCOTT LYMAN SHREEVE M.D. (OWNER CEO)
(949) 891-0328
Entity
Organization
Contact information
Practice address
20730 VALLEY GREEN DR, APPLE WELLNESS CENTER CUPERTINO, CUPERTINO, CA 95014-1704
(949) 891-0328
(949) 272-0159
Mailing address
101 W AVENIDA VISTA HERMOSA, SUITE 120, SAN CLEMENTE, CA 92672-7706
(949) 891-0328
(949) 272-0159
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
A74386
CA
Other
Enumeration date
09/26/2011
Last updated
05/10/2017
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