Provider Demographics
NPI:1235684457
Name:EXPRESS RX INC
Entity Type:Organization
Organization Name:EXPRESS RX INC
Other - Org Name:1ST CHOICE SLEEP DIAGNOSTICS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:BORIS
Authorized Official - Middle Name:
Authorized Official - Last Name:GRINSHTEYN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:213-353-0552
Mailing Address - Street 1:2503 BEVERLY BLVD FL 1
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90057-1000
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:213-353-0562
Practice Address - Street 1:1111 E HERNDON AVE STE 108
Practice Address - Street 2:
Practice Address - City:FRESNO
Practice Address - State:CA
Practice Address - Zip Code:93720-3100
Practice Address - Country:US
Practice Address - Phone:559-656-0646
Practice Address - Fax:559-412-8068
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-08-17
Last Update Date:2022-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QS1200XAmbulatory Health Care FacilitiesClinic/CenterSleep Disorder Diagnostic
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA1184777286Medicaid
CA1184777286Medicaid