Provider Demographics
NPI:1619246931
Name:SCALES MEDICAL SERVICES INCORPORATED
Entity Type:Organization
Organization Name:SCALES MEDICAL SERVICES INCORPORATED
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:EDDIE
Authorized Official - Middle Name:JAY
Authorized Official - Last Name:SCALES
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:951-695-9648
Mailing Address - Street 1:3579 E FOOTHILL BLVD
Mailing Address - Street 2:SUITE 188
Mailing Address - City:PASADENA
Mailing Address - State:CA
Mailing Address - Zip Code:91107-3119
Mailing Address - Country:US
Mailing Address - Phone:714-267-6137
Mailing Address - Fax:
Practice Address - Street 1:3579 E FOOTHILL BLVD
Practice Address - Street 2:SUITE 188
Practice Address - City:PASADENA
Practice Address - State:CA
Practice Address - Zip Code:91107-3119
Practice Address - Country:US
Practice Address - Phone:714-267-6137
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-12-15
Last Update Date:2011-12-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG58330208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAG58330OtherSTATE LICENSE