Healthcare Provider Details

I. General information

NPI: 1306243662
Provider Name (Legal Business Name): PHYSICIANS FIRST CHOICE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/02/2014
Last Update Date: 12/02/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6626 NORMAN LN
SAN DIEGO CA
92120-3949
US

IV. Provider business mailing address

6626 NORMAN LN
SAN DIEGO CA
92120-3949
US

V. Phone/Fax

Practice location:
  • Phone: 619-466-6050
  • Fax: 877-878-2079
Mailing address:
  • Phone: 619-466-6050
  • Fax: 877-878-2079

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code173000000X
TaxonomyLegal Medicine
License Number
License Number State

VIII. Authorized Official

Name: MR. MICHAEL BYRNES
Title or Position: PRESIDENT
Credential: J.D.
Phone: 619-994-1868