Provider Demographics
NPI:1861649121
Name:MEDICAL RESOURCE SOLUTIONS
Entity Type:Organization
Organization Name:MEDICAL RESOURCE SOLUTIONS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:ANGELITA
Authorized Official - Middle Name:
Authorized Official - Last Name:BALBAS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:310-694-3750
Mailing Address - Street 1:PO BOX 341229
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90034-9229
Mailing Address - Country:US
Mailing Address - Phone:310-694-3750
Mailing Address - Fax:310-862-1881
Practice Address - Street 1:3760 MOTOR AVE
Practice Address - Street 2:SUITE 318
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90034-6404
Practice Address - Country:US
Practice Address - Phone:310-694-3750
Practice Address - Fax:310-862-1881
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-08-19
Last Update Date:2008-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA833542081N0008X
CAG352452085U0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2081N0008XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationNeuromuscular MedicineGroup - Multi-Specialty
No2085U0001XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic UltrasoundGroup - Multi-Specialty