Provider Demographics
NPI:1306243662
Name:PHYSICIANS FIRST CHOICE, LLC
Entity type:Organization
Organization Name:PHYSICIANS FIRST CHOICE, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:
Authorized Official - Last Name:BYRNES
Authorized Official - Suffix:
Authorized Official - Credentials:JD
Authorized Official - Phone:619-994-1868
Mailing Address - Street 1:6626 NORMAN LN
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92120-3949
Mailing Address - Country:US
Mailing Address - Phone:619-466-6050
Mailing Address - Fax:877-878-2079
Practice Address - Street 1:6626 NORMAN LN
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92120-3949
Practice Address - Country:US
Practice Address - Phone:619-466-6050
Practice Address - Fax:877-878-2079
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-12-02
Last Update Date:2014-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes173000000XOther Service ProvidersLegal MedicineGroup - Multi-Specialty