Basic Information
| Provider Information | |||||||||
| NPI: | 1275715609 | ||||||||
| EntityType: | 2 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | MEDICAL BILLING SPEICIALISTS | ||||||||
| LastName: | |||||||||
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| Mailing Information | |||||||||
| Address1: | PO BOX 1359 | ||||||||
| Address2: | |||||||||
| City: | SAN CLEMENTE | ||||||||
| State: | CA | ||||||||
| PostalCode: | 926741359 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9494923514 | ||||||||
| FaxNumber: | 9493662390 | ||||||||
| Practice Location | |||||||||
| Address1: | 3811 VISTA AZUL | ||||||||
| Address2: | |||||||||
| City: | SAN CLEMENTE | ||||||||
| State: | CA | ||||||||
| PostalCode: | 926724543 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9494923514 | ||||||||
| FaxNumber: | 9493662390 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 11/27/2007 | ||||||||
| LastUpdateDate: | 11/27/2007 | ||||||||
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| AuthorizedOfficialLastName: | NORDBERG | ||||||||
| AuthorizedOfficialFirstName: | KARA | ||||||||
| AuthorizedOfficialMiddleName: | |||||||||
| AuthorizedOfficialTitleorPosition: | OWNER | ||||||||
| AuthorizedOfficialTelephone: | 9494923514 | ||||||||
| IsSoleProprietor: | |||||||||
| IsOrganizationSubpart: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 251X00000X | Y | Agencies | Supports Brokerage |
No ID Information.