Provider Demographics
NPI:1780810564
Name:PHYSICIANS CHOICE MEDICAL, INC
Entity type:Organization
Organization Name:PHYSICIANS CHOICE MEDICAL, INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:REBECCA
Authorized Official - Middle Name:
Authorized Official - Last Name:DAY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:805-409-0600
Mailing Address - Street 1:1627 S CENTRAL AVE
Mailing Address - Street 2:
Mailing Address - City:GLENDALE
Mailing Address - State:CA
Mailing Address - Zip Code:91204-2734
Mailing Address - Country:US
Mailing Address - Phone:805-409-0600
Mailing Address - Fax:805-497-0905
Practice Address - Street 1:1627 S CENTRAL AVE
Practice Address - Street 2:
Practice Address - City:GLENDALE
Practice Address - State:CA
Practice Address - Zip Code:91204-2734
Practice Address - Country:US
Practice Address - Phone:805-409-0600
Practice Address - Fax:805-497-0905
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-06-07
Last Update Date:2022-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies