| Choice Health Network | |
|
408 S Beach Blvd Ste 111 Anaheim CA 92804-1866 | |
| (714) 826-8800 | |
| Not Available |
| Full Name | Choice Health Network |
|---|---|
| Speciality | Clinic/Center |
| Location | 408 S Beach Blvd Ste 111, Anaheim, California |
| Authorized Official Name and Position | Kevin Ebilane (CEO) |
| Authorized Official Contact | 7148268800 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Choice Health Network 408 S Beach Blvd Ste 111 Anaheim CA 92804-1866 Ph: (714) 826-8800 | Choice Health Network 408 S Beach Blvd Ste 111 Anaheim CA 92804-1866 Ph: (714) 826-8800 |
| NPI Number | 1952073157 |
|---|---|
| Provider Enumeration Date | 10/05/2021 |
| Last Update Date | 10/08/2024 |
| Medicare PECOS PAC ID | 9133599749 |
|---|---|
| Medicare Enrollment ID | O20221222002112 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952073157 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| Provider Name | Francisco J Correa |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1164580783 PECOS PAC ID: 3779534979 Enrollment ID: I20050204000477 |
| Provider Name | Nikunj Mahendra Patel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1851553804 PECOS PAC ID: 2163614207 Enrollment ID: I20150828002327 |
| Provider Name | Femina Grace Basco Reyes-david |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225462401 PECOS PAC ID: 4183072598 Enrollment ID: I20231127000068 |
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