Comprehensive Medical Reporting Services

Primary specialty

SpecialistTaxonomy code 174400000X

License

B2006002857 Issued in CA

Legal business name

COMPREHENSIVE MEDICAL REPORTING SERVICES

Doing business as

Advantage Med Legal

Practice address

9040 Friars Rd., Ste. 410
San Diego, CA 92108

Phone

(619) 528-8300

Fax

(619) 528-8333

NPI assigned

Apr 5, 2016

Last updated

Apr 5, 2016By the provider in NPPES

Organization subpart

Yes

Parent organization

COMPREHENSIVE MEDICAL REPORTING SERVICESAs reported in NPPES

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Yohan Louis Fehrensen

Title

Vice President

Phone

(619) 528-8300

Specialties & licenses 1

Addresses

Other names 1

• Advantage Med Legal Doing business as

Part of

Comprehensive Medical Reporting Services

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1459814400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1459814400000",
    "number": "1710341862",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9040 FRIARS RD STE 410",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921085862",
            "telephone_number": "619-528-8300",
            "fax_number": "619-528-8333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9040 FRIARS RD., STE. 410",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "92108",
            "telephone_number": "619-528-8300",
            "fax_number": "619-528-8333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPREHENSIVE MEDICAL REPORTING SERVICES",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "COMPREHENSIVE MEDICAL REPORTING SERVICES",
        "enumeration_date": "2016-04-05",
        "last_updated": "2016-04-05",
        "status": "A",
        "authorized_official_last_name": "FEHRENSEN",
        "authorized_official_first_name": "YOHAN",
        "authorized_official_middle_name": "LOUIS",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "619-528-8300",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "B2006002857",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Advantage Med Legal",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Specialist in San Diego, CA
• Providers in San Diego, CA by specialty
• Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.