Provider Demographics
NPI:1093095788
Name:PACIFIC RESPIRATORY CONSULTANTS, INC
Entity Type:Organization
Organization Name:PACIFIC RESPIRATORY CONSULTANTS, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COO
Authorized Official - Prefix:MR
Authorized Official - First Name:NATHAN
Authorized Official - Middle Name:
Authorized Official - Last Name:WINTON
Authorized Official - Suffix:
Authorized Official - Credentials:RRT
Authorized Official - Phone:858-442-8858
Mailing Address - Street 1:5663 BALBOA AVE
Mailing Address - Street 2:SUITE 487
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92111-2705
Mailing Address - Country:US
Mailing Address - Phone:858-442-8858
Mailing Address - Fax:858-720-8458
Practice Address - Street 1:5663 BALBOA AVE
Practice Address - Street 2:SUITE 487
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92111-2705
Practice Address - Country:US
Practice Address - Phone:858-442-8858
Practice Address - Fax:858-720-8458
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-08-25
Last Update Date:2011-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA308162279H0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2279H0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRespiratory Therapist, RegisteredHome HealthGroup - Single Specialty