Basic Information
| Provider Information | |||||||||
| NPI: | 1962677054 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | PCX BILLING SYSTEMS | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1801 W. OLYMPIC BLVD | ||||||||
| Address2: | FILE 1222 | ||||||||
| City: | PASADENA | ||||||||
| State: | CA | ||||||||
| PostalCode: | 911991222 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3109671884 | ||||||||
| FaxNumber: | 3109671800 | ||||||||
| Practice Location | |||||||||
| Address1: | 8700 BEVERLY BLVD. | ||||||||
| Address2: | |||||||||
| City: | LOS ANGELES | ||||||||
| State: | CA | ||||||||
| PostalCode: | 900481865 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3109671884 | ||||||||
| FaxNumber: | 3109671800 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 04/29/2008 | ||||||||
| LastUpdateDate: | 04/29/2008 | ||||||||
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| AuthorizedOfficialLastName: | GORDON | ||||||||
| AuthorizedOfficialFirstName: | THOMAS | ||||||||
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| AuthorizedOfficialTitleorPosition: | CEO | ||||||||
| AuthorizedOfficialTelephone: | 3109671884 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 208600000X | N | 193200000X MULTI-SPECIALTY GROUP | Allopathic & Osteopathic Physicians | Surgery | 207T00000X | Y | 193200000X MULTI-SPECIALTY GROUP | Allopathic & Osteopathic Physicians | Neurological Surgery |
No ID Information.