Choice Medical Clinic, Inc. in San Jose - Specialist
Choice Medical Clinic, Inc. - NPI 1174711915
Choice Medical Clinic, Inc. is a Specialist in San Jose, California. Choice Medical Clinic, Inc. practices all healthcare services and medical treatments related to Specialist. The NPI Number for Choice Medical Clinic, Inc. is 1174711915. The last update date is 2007-11-27.
Choice Medical Clinic, Inc.'s current location address is Po Box 5640, San Jose, California. You can contact this provider via phone number 4089950102 and fax number 4089956842. The mailing address for Choice Medical Clinic, Inc. is Po Box 5640, San Jose, California. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Choice Medical Clinic, Inc. |
|---|---|
| Address | Po Box 5640, San Jose, California |
| Phone Number | 4089950102 |
| Fax Number | 4089956842 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Fisk Norman |
| Credentials | M.D. |
| Telephone Number | 4089950102 |
NPI Number Detail
| NPI Number | 1174711915 |
|---|---|
| Provider Enumeration Date | 2007-10-05 |
| Last Updated Date | 2007-11-27 |
Provider Mailing Address Detail
| Address | Po Box 5640 |
|---|---|
| City | San Jose |
| State | California (CA) |
| Post Code | 951505640 |
| Phone Number | 4089950102 |
| Fax Number | 4089956842 |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
|
Definition: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| GR0006542 | CA | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Choice Medical Clinic, Inc. by the Centers for Medicare & Medicaid Services?
The Choice Medical Clinic, Inc. has been assigned the NPI (National Provider Identifier) 1174711915. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Where is the Choice Medical Clinic, Inc. located?
The Choice Medical Clinic, Inc. is located at Po Box 5640, San Jose, CA 951505640.
What is Choice Medical Clinic, Inc.'s specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Choice Medical Clinic, Inc.'s specialized field of practice is Specialist, and the corresponding taxonomy code that categorizes this area of specialization is 174400000X.
On what date did the Choice Medical Clinic, Inc. receive its 1174711915 assignment from the Centers for Medicare & Medicaid Services?
The Choice Medical Clinic, Inc. was assigned its 1174711915 by the Centers for Medicare & Medicaid Services on 2007-10-05.
As of what date were the Choice Medical Clinic, Inc.'s details last updated?
The information pertaining to the Choice Medical Clinic, Inc., including its address, specialty, and other details, was most recently updated on 2007-11-27.
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