Organization
PREVENTATIVERX
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEVE SCHROEDER (CEO)
(310) 722-9733
Entity
Organization
Contact information
Practice address
24882 SEA AIRE, DANA POINT, CA 92629-1848
(949) 322-1509
(949) 661-1901
Mailing address
24882 SEA AIRE, DANA POINT, CA 92629-1848
Taxonomy
Speciality
Code
Description
License number
State
332900000X
Non-Pharmacy Dispensing Site
Primary
—
CA
Other
Enumeration date
08/24/2011
Last updated
08/24/2011
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