Healthcare Provider Details

I. General information

NPI: 1346581402
Provider Name (Legal Business Name): NATIONAL MEDICAL PHYSICIANS SERVICES GROUP LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/13/2013
Last Update Date: 03/13/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

308 W CHAPMAN AVE UNIT 1936
ORANGE CA
92856-7079
US

IV. Provider business mailing address

1433 W MERCED AVE STE 311
WEST COVINA CA
91790-3402
US

V. Phone/Fax

Practice location:
  • Phone: 714-566-5240
  • Fax: 888-977-3286
Mailing address:
  • Phone: 626-960-3066
  • Fax: 626-960-7937

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License Number
License Number State

VIII. Authorized Official

Name: MR. MARC FRIEDMAN
Title or Position: PRESIDENT/E-CEO
Credential: BS
Phone: 714-566-5240