Provider Demographics
NPI:1699214742
Name:PMS MEDICAL SERVICES, INC.
Entity Type:Organization
Organization Name:PMS MEDICAL SERVICES, INC.
Other - Org Name:MONARCA HOSPICE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT/ CFO
Authorized Official - Prefix:MR
Authorized Official - First Name:THANG
Authorized Official - Middle Name:
Authorized Official - Last Name:CHU
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:909-608-7093
Mailing Address - Street 1:545 N MOUNTAIN AVE
Mailing Address - Street 2:SUITE #108
Mailing Address - City:UPLAND
Mailing Address - State:CA
Mailing Address - Zip Code:91786-5073
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:545 N MOUNTAIN AVE
Practice Address - Street 2:SUITE #108
Practice Address - City:UPLAND
Practice Address - State:CA
Practice Address - Zip Code:91786-5073
Practice Address - Country:US
Practice Address - Phone:909-608-7093
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-02-21
Last Update Date:2017-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based