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Credentialing Forms & Checklist:


You can download our credentialing forms and checklist by clicking the button below. Please either fax (323)566-0556 or email the application to matt@physiciansandsurgeons.net

"Our experienced personnel ensure excellent reports and fast turn-around times, with same day stat reporting when necessary."

  Join Our Team

"Quality, turn around time and attention to detail are top priority"

Contact Us:


​If you would like more information about joining one of our Physician Networks, please fill out the form on the right and we will have someone get back to you within 48 hours.


Be sure to include the states you currently hold licenses in, as well as your primary and sub-specialties. Also indicate if you are interested in becoming a Treating Physician or a Peer Reviewer.

   For Info Call 323-556-055
 ​

8484 Wilshire Boulevard Suite 620, Beverly Hills, CA, United States


Telephone:  323-556-0555

Fax: 323-556-0556

Email:  matt@physiciansandsurgeons.net

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