Choice Medical Group

LBN: Choice Medical Clinic, Inc.
Choice Medical Group is an health care organization with primary practice located at 2365 Montpelier Dr , San Jose CA 95116-1614. The organization recently has only one registered license in Laboratories / Clinical Medical Laboratory, which is considered as the primary health care specialty. Choice Medical Clinic, Inc. can be contacted via phone (408) 272-9244, or through Tapia Vaughan, Liza via phone (408) 995-0102.

Contact Information

Primary practice address
2365 Montpelier Dr San Jose CA 95116-1614
Phone: (408) 272-9244
Fax: (408) 254-4596
Website:
Map and Directions
Authorized official contact:
Name: Tapia Vaughan, Liza
Phone: (408) 995-0102

Health care specialties

SpecialtyCodeLicense #State
Laboratories / Clinical Medical Laboratory 291U00000X California

Profile Details

NPI number 1609950997
LBN Legal business name Choice Medical Clinic, Inc.
DBA Doing business as Choice Medical Group
Authorized official Tapia Vaughan, Liza
Entity Organization
Organization subpart 1 No
Enumeration date Oct 24th, 2006
Last updated Aug 22nd, 2020 - about 4 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 1609950997 NPPES
California MEDICAID LAB99074F

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