Healthcare Provider Details

I. General information

NPI: 1558597872
Provider Name (Legal Business Name): 1ST CHOICE MEDICAL AND BILLING PRODUCTS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/01/2009
Last Update Date: 09/27/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1744 BLUE RIDGE DR
POMONA CA
91766-4110
US

IV. Provider business mailing address

8 HOLLAND
IRVINE CA
92618-2504
US

V. Phone/Fax

Practice location:
  • Phone: 951-538-3147
  • Fax: 909-623-2004
Mailing address:
  • Phone: 951-538-3147
  • Fax: 909-623-2004

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code332BN1400X
TaxonomyNursing Facility Supplies (DME)
License Number
License Number State

VIII. Authorized Official

Name: MR. VILLARD S. MCCOY
Title or Position: CEO
Credential:
Phone: 951-538-3147