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CHOICE MEDICAL CLINIC INC NPI 1740377811


NPI Information

NPI: 1740377811
Provider Name: CHOICE MEDICAL CLINIC, INC

Doing Business As: CHOICE MEDICAL GROUP

Classification: Obstetrics & Gynecology - 207VG0400X
Entity Type: Organization

Specialization: Gynecology

Address:
2365 MONTPELIER DR
SAN JOSE, CA
ZIP 95116
Phone: (408) 272-9244
Get Directions

CHOICE MEDICAL CLINIC, INC is a gynecology obstetrics gynecology in San Jose, CA. The provider is a physician who specializes in diagnosis, treatment, and management of patients with gynecologic conditions. Source: National Uniform Claim Committee CHOICE MEDICAL CLINIC, INC NPI is 1740377811. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Is Doing Business As Choice Medical Group.

The provider's business location address is:

2365 MONTPELIER DR
SAN JOSE, CA
ZIP 95116-614
Phone: (408) 272-9244
Fax: (408) 254-4596

The provider's authorized official is Liza Tapia Vaughan .
The authorized official title is General Manager and has the following contact phone number (408) 995-0102.

The enumeration date for this NPI number is 10/9/2006 and was last updated on 8/22/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207VG0400XObstetrics & GynecologyGynecologyGR0006547CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1GR0006547MEDICAIDCALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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