Choice Medical Group

LBN: Choice Medical Clinic, Inc.
Choice Medical Group is an health care organization with primary practice located at 1834 Stone Ave Suite 2B, San Jose CA 95125-1306. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. Choice Medical Clinic, Inc. can be contacted via phone (408) 995-0102, or through Fisk, Norman via phone (408) 995-0102.

Contact Information

Primary practice address
1834 Stone Ave Suite 2B San Jose CA 95125-1306
Phone: (408) 995-0102
Fax: (408) 995-6842
Website:
Map and Directions
Authorized official contact:
Name: Fisk, Norman Doctor of Medicine (MD)
Phone: (408) 995-0102

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X

Profile Details

NPI number 1174711915
LBN Legal business name Choice Medical Clinic, Inc.
DBA Doing business as Choice Medical Group
Authorized official Fisk, Norman Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 5th, 2007
Last updated Nov 27th, 2007 - about 17 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1174711915 NPPES
California MEDICAID GR0006542

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