Provider Demographics
NPI:1366197311
Name:PRECISE MED, LLC
Entity type:Organization
Organization Name:PRECISE MED, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT & CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:DANFORTH CHRISTIAN
Authorized Official - Middle Name:CEA
Authorized Official - Last Name:MALLARI
Authorized Official - Suffix:
Authorized Official - Credentials:MHA, LNHA, LVN
Authorized Official - Phone:510-599-8368
Mailing Address - Street 1:1861 CAMINO REAL WAY
Mailing Address - Street 2:
Mailing Address - City:ROSEVILLE
Mailing Address - State:CA
Mailing Address - Zip Code:95747-8430
Mailing Address - Country:US
Mailing Address - Phone:510-599-8368
Mailing Address - Fax:
Practice Address - Street 1:970 RESERVE DR STE 132
Practice Address - Street 2:
Practice Address - City:ROSEVILLE
Practice Address - State:CA
Practice Address - Zip Code:95678-1377
Practice Address - Country:US
Practice Address - Phone:510-599-8368
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-02-18
Last Update Date:2025-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health