Healthcare Provider Details
I. General information
NPI: 1699965590
Provider Name (Legal Business Name): PACIFIC MEDICAL COMMUNICATIONS, INC.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 07/26/2007
Last Update Date: 11/29/2007
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
506 W VALLEY BLVD STE 300
SAN GABRIEL CA
91776-3731
US
IV. Provider business mailing address
506 W VALLEY BLVD STE 300
SAN GABRIEL CA
91776-3731
US
V. Phone/Fax
- Phone: 626-308-0086
- Fax:
- Phone: 626-308-0086
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 247200000X |
| Taxonomy | Other Technician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
PATRICK
LEUNG
Title or Position: PRESIDENT
Credential: PHD
Phone: 626-308-0086