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Choice Medical Clinic, INC.

Obstetrics & Gynecology, Gynecology in Sacramento, CA. Organization (NPI-2).

NPI number1114014289
StatusActive
Last updated in NPPESAug 22, 2020

Details

NPI
1114014289
Entity type
Organization (NPI-2)
Legal business name
Choice Medical Clinic, INC.
Organization subpart
No
Enumeration date
Oct 9, 2006
Last updated
Aug 22, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207VG0400X Obstetrics & Gynecology, GynecologyGR0006546CAYes

Other names

  • Choice Medical Group (Doing Business As)

Practice location

2322 Butano Dr
Suite 205
Sacramento, CA 95825-0629

Phone 916-483-2885 · Fax 916-483-4036

Mailing address

1834 Stone Ave
Suite 2b
San Jose, CA 95125-1306

Phone 408-995-0102 · Fax 408-995-0190

Authorized official

Liza Tapia Vaughan
General Manager
4089950102

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