Healthcare Provider Details

I. General information

NPI: 1962677054
Provider Name (Legal Business Name): PCX BILLING SYSTEMS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/29/2008
Last Update Date: 04/29/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8700 BEVERLY BLVD.
LOS ANGELES CA
90048-1865
US

IV. Provider business mailing address

1801 W. OLYMPIC BLVD FILE 1222
PASADENA CA
91199-1222
US

V. Phone/Fax

Practice location:
  • Phone: 310-967-1884
  • Fax: 310-967-1800
Mailing address:
  • Phone: 310-967-1884
  • Fax: 310-967-1800

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207T00000X
TaxonomyNeurological Surgery Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number
License Number State

VIII. Authorized Official

Name: THOMAS GORDON
Title or Position: CEO
Credential:
Phone: 310-967-1884