Provider Demographics
NPI:1194752154
Name:PHYSICIANS CONSULTING RESOURCES CO
Entity type:Organization
Organization Name:PHYSICIANS CONSULTING RESOURCES CO
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT & CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:KEVIN
Authorized Official - Middle Name:
Authorized Official - Last Name:GARR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-346-3066
Mailing Address - Street 1:6400 CANOGA AVE
Mailing Address - Street 2:SUITE 354
Mailing Address - City:WOODLAND HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:91367-2447
Mailing Address - Country:US
Mailing Address - Phone:818-346-3066
Mailing Address - Fax:818-346-3830
Practice Address - Street 1:6400 CANOGA AVE
Practice Address - Street 2:SUITE 354
Practice Address - City:WOODLAND HILLS
Practice Address - State:CA
Practice Address - Zip Code:91367-2447
Practice Address - Country:US
Practice Address - Phone:818-346-3066
Practice Address - Fax:818-346-3830
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-27
Last Update Date:2009-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies