Healthcare Provider Details

I. General information

NPI: 1619246931
Provider Name (Legal Business Name): SCALES MEDICAL SERVICES INCORPORATED
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/15/2011
Last Update Date: 12/15/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3579 E FOOTHILL BLVD SUITE 188
PASADENA CA
91107-3119
US

IV. Provider business mailing address

3579 E FOOTHILL BLVD SUITE 188
PASADENA CA
91107-3119
US

V. Phone/Fax

Practice location:
  • Phone: 714-267-6137
  • Fax:
Mailing address:
  • Phone: 714-267-6137
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208100000X
TaxonomyPhysical Medicine & Rehabilitation Physician
License NumberG58330
License Number StateCA

VIII. Authorized Official

Name: DR. EDDIE JAY SCALES
Title or Position: OWNER
Credential: M.D
Phone: 951-695-9648