Healthcare Provider Details

I. General information

NPI: 1942461397
Provider Name (Legal Business Name): GE MEDICAL SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/18/2008
Last Update Date: 05/20/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

269 S BEVERLY DR
BEVERLY HILLS CA
90212-3851
US

IV. Provider business mailing address

1117 DESERT LN
LAS VEGAS NV
89102-2305
US

V. Phone/Fax

Practice location:
  • Phone: 800-498-1081
  • Fax:
Mailing address:
  • Phone: 800-498-1081
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QP3300X
TaxonomyPain Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code208VP0000X
TaxonomyPain Medicine Physician
License NumberA28026
License Number StateCA

VIII. Authorized Official

Name: MR. JAMES MCMANN
Title or Position: DIRECTOR
Credential:
Phone: 760-851-4797