MEDICARE: FIRST CHOICE ADMINISTRATORS, INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	305R00000X	Preferred Provider Organization	2061585	CA

General Provider Information

NPI Number	:	1790767200
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FIRST CHOICE ADMINISTRATORS, INC.

Provider Business Mailing Address
First Line	:	3950 LONG BEACH BLVD
Second Line	:	SUITE 101
City	:	LONG BEACH
State	:	CA
Zip	:	90807-5411
Country	:	US
Telephone Number	:	562-424-8001
Fax Number	:	562-424-5570

Provider Business Practice Location Address
First Line	:	3950 LONG BEACH BLVD
Second Line	:	SUITE 101
City	:	LONG BEACH
State	:	CA
Zip	:	90807-5411
Country	:	US
Telephone Number	:	562-424-8001
Fax Number	:	562-424-5570

Authorized Official
Title or Position	:	EXECUTIVE DIRECTOR
Name	:	MR. WILLIAM T. ROSS
Credential	:
Telephone Number	:	562-424-8001

Provider Enumeration Date	:	11/18/2005
Last Update Date	:	08/22/2020

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