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NPI Code Detail

MEDICARE: REGIONAL PHYSICIAN SERVICES OF CALIFORNIA PC

MEDICARE: REGIONAL PHYSICIAN SERVICES OF CALIFORNIA PC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207R00000XInternal Medicine Physician

General Provider Information

NPI Number : 1962691857
Entity Type Code : Organization
Provider Name (Legal Business Name) : REGIONAL PHYSICIAN SERVICES OF CALIFORNIA PC
Provider Business Mailing Address
First Line : 9201 E MOUNTAIN VIEW RD
Second Line : SUITE 220
City : SCOTTSDALE
State : AZ
Zip : 85258
Country : US
Telephone Number : 480-862-1700
Fax Number : 480-907-1537
Provider Business Practice Location Address
First Line : 303 N GLENOAKS BLVD STE 200
Second Line :
City : BURBANK
State : CA
Zip : 91502-1118
Country : US
Telephone Number : 480-862-1677
Fax Number : 480-718-7643
Authorized Official
Title or Position : DIRECTOR, CREDENTIALING
Name : VICTORIA ALVAREZ
Credential :
Telephone Number : 480-862-1695
Provider Enumeration Date : 10/17/2007
Last Update Date : 12/10/2019

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