CHOICE PROVIDERS MEDICAL GROUP INC NPI 1114947058

NPI Information

NPI: 1114947058
Provider Name: CHOICE PROVIDERS MEDICAL GROUP INC

Doing Business As: NOBLE COMMUNITY MEDICAL ASSOCAITES

Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
17750 SHERMAN WAY
STE 101
RESEDA, CA
ZIP 91335
Phone: (818) 705-7200
Get Directions

CHOICE PROVIDERS MEDICAL GROUP INC is a family medicine in Reseda, CA. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. CHOICE PROVIDERS MEDICAL GROUP INC NPI is 1114947058. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Noble Community Medical Assocaites.

The provider's business location address is:

17750 SHERMAN WAY
STE 101
RESEDA, CA
ZIP 91335-380
Phone: (818) 705-7200
Fax: (818) 343-0805

The provider's authorized official is Hany Malek .
The authorized official title is Secretary and has the following contact phone number (818) 705-7200.

The enumeration date for this NPI number is 7/21/2006 and was last updated on 5/29/2008.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207R00000X	Internal Medicine		A44927	CALIFORNIA	No
2	207X00000X	Orthopaedic Surgery		C30241	CALIFORNIA	No
3	207X00000X	Orthopaedic Surgery		C31379	CALIFORNIA	No
4	208000000X	Pediatrics		A25062	CALIFORNIA	No
5	208000000X	Pediatrics		A54207	CALIFORNIA	No
6	208VP0000X	Pain Medicine	Pain Medicine	G78404	CALIFORNIA	No
7	363A00000X	Physician Assistant		PA13428	CALIFORNIA	No
8	111N00000X	Chiropractor		DC21916	CALIFORNIA	No
9	111N00000X	Chiropractor		DC28504	CALIFORNIA	No
10	111N00000X	Chiropractor		DC20140	CALIFORNIA	No
11	111N00000X	Chiropractor		DC20098	CALIFORNIA	No
12	173F00000X	Sleep Specialist, PhD		173F00000X	CALIFORNIA	No
13	207Q00000X	Family Medicine		A35585	CALIFORNIA	No
14	207R00000X	Internal Medicine		A64420	CALIFORNIA	No
15	207Q00000X	Family Medicine		A36588	CALIFORNIA	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	ZZZ50173Z	OTHER	CALIFORNIA	BLUE SHEILD (PASADENA)
2	ZZZ50176Z	OTHER	CALIFORNIA	BLUE SHEILD (C.P)
3	W18585	MEDICARE PIN	CALIFORNIA
4	ZZZ501722Z	OTHER	CALIFORNIA	BLUE SHEILD (G.H.)
5	ZZZ50174Z	OTHER	CALIFORNIA	BLUE SHEILD (S.B.)
6	GR0102430	MEDICAID	CALIFORNIA
7	GR0102434	MEDICAID	CALIFORNIA
8	ZZZ50145Z	OTHER	CALIFORNIA	BLUE SHEILD (RESEDA)
9	GR0102431	MEDICAID	CALIFORNIA
10	ZZZ50147Z	OTHER	CALIFORNIA	BLUE SHEILD (INGLEWOOD)
11	GR0102433	MEDICAID	CALIFORNIA
12	ZZZ50146Z	OTHER	CALIFORNIA	BLUE SHEILD (L.A.)
13	GR0102432	MEDICAID	CALIFORNIA
14	ZZZ50172Z	OTHER	CALIFORNIA	BLUE SHEILD (EL MONTE)
15	ZZZ501752	OTHER	CALIFORNIA	BLUE SHEILD

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

NPI Synchronization or Removal

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