Provider Demographics
NPI:1891244430
Name:PRECISIONMEDS SERVICES INC.
Entity Type:Organization
Organization Name:PRECISIONMEDS SERVICES INC.
Other - Org Name:WWW.PRECISIONMEDS.COM
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:
Authorized Official - Last Name:RENO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:310-437-9209
Mailing Address - Street 1:638 E COLORADO BLVD
Mailing Address - Street 2:SUITE 202
Mailing Address - City:PASADENA
Mailing Address - State:CA
Mailing Address - Zip Code:91101-2006
Mailing Address - Country:US
Mailing Address - Phone:800-209-1203
Mailing Address - Fax:
Practice Address - Street 1:638 E COLORADO BLVD
Practice Address - Street 2:SUITE 202
Practice Address - City:PASADENA
Practice Address - State:CA
Practice Address - Zip Code:91101-2006
Practice Address - Country:US
Practice Address - Phone:800-209-1203
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-09-23
Last Update Date:2016-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA54403332BX2000X, 333600000X, 3336C0003X, 3336I0012X, 3336M0002X, 3336M0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies
No333600000XSuppliersPharmacy
No3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No3336I0012XSuppliersPharmacyInstitutional Pharmacy
No3336M0002XSuppliersPharmacyMail Order Pharmacy
No3336M0003XSuppliersPharmacyManaged Care Organization Pharmacy