Provider Demographics
NPI:1558597872
Name:1ST CHOICE MEDICAL AND BILLING PRODUCTS LLC
Entity Type:Organization
Organization Name:1ST CHOICE MEDICAL AND BILLING PRODUCTS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:VILLARD
Authorized Official - Middle Name:S
Authorized Official - Last Name:MCCOY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:951-538-3147
Mailing Address - Street 1:8 HOLLAND
Mailing Address - Street 2:
Mailing Address - City:IRVINE
Mailing Address - State:CA
Mailing Address - Zip Code:92618-2504
Mailing Address - Country:US
Mailing Address - Phone:951-538-3147
Mailing Address - Fax:909-623-2004
Practice Address - Street 1:1744 BLUE RIDGE DR
Practice Address - Street 2:
Practice Address - City:POMONA
Practice Address - State:CA
Practice Address - Zip Code:91766-4110
Practice Address - Country:US
Practice Address - Phone:951-538-3147
Practice Address - Fax:909-623-2004
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-06-01
Last Update Date:2010-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No332BN1400XSuppliersDurable Medical Equipment & Medical SuppliesNursing Facility Supplies