Provider Demographics
NPI:1386104859
Name:PS MEDICAL INC.
Entity type:Organization
Organization Name:PS MEDICAL INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:PATRICIA
Authorized Official - Middle Name:
Authorized Official - Last Name:SOTOLONGO
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:702-235-3936
Mailing Address - Street 1:49838 CRESCENT PSGE
Mailing Address - Street 2:
Mailing Address - City:PALM DESERT
Mailing Address - State:CA
Mailing Address - Zip Code:92211-2212
Mailing Address - Country:US
Mailing Address - Phone:909-883-2394
Mailing Address - Fax:
Practice Address - Street 1:CALIFORNIA NURSING & REHABILITATION CENTER
Practice Address - Street 2:2299 N INDIAN CANYON DR
Practice Address - City:PALM SPRINGS
Practice Address - State:CA
Practice Address - Zip Code:92262-3023
Practice Address - Country:US
Practice Address - Phone:760-325-2937
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-03-21
Last Update Date:2024-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty