NPI 1215372040

Doctors Choice Medical Group

Organisation Exclusive Provider Organization San Marino, CA

Practice location

Address: 2295-A Huntington Drive, San Marino, CA 91108
Phone: (818) 399-8996

Authorised official

Name: Lan Nhu Bich Phan
Title: Administrator
Phone: (818) 399-8996

Registered specialties

Exclusive Provider Organization Primary

Managed Care Organizations Taxonomy 302F00000X

Other Exclusive Provider Organization providers in California →

Registry record

NPI: 1215372040
Entity type: Organization
NPI issued: 7 May 2013
Record last updated: 7 May 2013

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.