MEDICARE: PHYSICIANS RESOURCE SOLUTIONS, 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	2085U0001X	Diagnostic Ultrasound Physician	G35245	CA
2	2081N0008X	Neuromuscular Medicine (Physical Medicine & Rehabilitation) Physician	A83354	CA

General Provider Information

NPI Number	:	1952560203
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PHYSICIANS RESOURCE SOLUTIONS, INC.

Provider Business Mailing Address
First Line	:	PO BOX 34412
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90034-0412
Country	:	US
Telephone Number	:	310-694-3750
Fax Number	:	310-862-1881

Provider Business Practice Location Address
First Line	:	3760 MOTOR AVE
Second Line	:	SUITE 318
City	:	LOS ANGELES
State	:	CA
Zip	:	90034-6404
Country	:	US
Telephone Number	:	310-694-3750
Fax Number	:	310-862-1881

Authorized Official
Title or Position	:	PRESIDENT
Name	:	ANGELITA BALBASE
Credential	:	M.D.
Telephone Number	:	310-694-3750

Provider Enumeration Date	:	06/02/2008
Last Update Date	:	06/02/2008

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