PCS Medical, Inc

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

C41527 Issued in CA

Legal business name

PCS MEDICAL, INC

Practice address

12954 Hawthorne Blvd Ste 101
Hawthorne, CA 90250-4418

Phone

(310) 219-1550

Fax

(310) 219-0723

NPI assigned

Feb 6, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Phillip Charles Sokolsky, MD

Title

President

Phone

(310) 219-1550

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1170720000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1578602181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12954 HAWTHORNE BLVD STE 101",
            "city": "HAWTHORNE",
            "state": "CA",
            "postal_code": "902504418",
            "telephone_number": "310-219-1550",
            "fax_number": "310-219-0723"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12954 HAWTHORNE BLVD STE 101",
            "city": "HAWTHORNE",
            "state": "CA",
            "postal_code": "902504418",
            "telephone_number": "310-219-1550",
            "fax_number": "310-219-0723"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PCS MEDICAL, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SOKOLSKY",
        "authorized_official_first_name": "PHILLIP",
        "authorized_official_middle_name": "CHARLES",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-219-1550",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": "CA",
            "license": "C41527",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• General Practice Physician in Hawthorne, CA
• Providers in Hawthorne, CA by specialty
• General Practice Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.