Choc Physicians Network, INC
Health Maintenance Organization in Orange, CA. Organization (NPI-2).
NPI number1083240204
StatusActive
Last updated in NPPESMar 19, 2020
Details
- NPI
- 1083240204
- Entity type
- Organization (NPI-2)
- Legal business name
- Choc Physicians Network, INC
- Organization subpart
- No
- Enumeration date
- Mar 19, 2020
- Certification date
- Mar 19, 2020
- Last updated
- Mar 19, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 302R00000X | Health Maintenance Organization | – | – | Yes |
Practice location
1120 W. La Veta AvenueSuite 450
Orange, CA 92868
Phone 714-565-5100 · Fax 714-509-7016
Mailing address
1120 W. La Veta AvenueSuite 450
Orange, CA 92868
Phone 714-565-5100 · Fax 714-509-7016
Authorized official
Jacob Wolsztejn
President
7147541548
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