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
2511 LAGUNA BLVD, MS 217 - FIT, ELK GROVE, CA 95758-7421
(949) 891-0328
Mailing address
15 ENTERPRISE, #330, ALISO VIEJO, CA 92656-2652
(949) 891-0328
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
A74386
CA
Other
Enumeration date
10/28/2011
Last updated
10/07/2016
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