MEDICARE: HEALTHCHOICE MANAGEMENT CENTER, INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor	DC15287	CA
2	111N00000X	Chiropractor	DC33075	CA
3	171100000X	Acupuncturist	AC2332	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	AC2332	OTHER	CA	STATE LICENSE

General Provider Information

NPI Number	:	1477938876
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HEALTHCHOICE MANAGEMENT CENTER, INC.

Provider Business Mailing Address
First Line	:	5567 RESEDA BLVD
Second Line	:	101
City	:	TARZANA
State	:	CA
Zip	:	91356-2674
Country	:	US
Telephone Number	:	213-387-4710
Fax Number	:	213-387-4811

Provider Business Practice Location Address
First Line	:	5567 RESEDA BLVD
Second Line	:	101
City	:	TARZANA
State	:	CA
Zip	:	91356-2674
Country	:	US
Telephone Number	:	213-387-4710
Fax Number	:	213-387-4811

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. ALEJANDRO JOSE KATZ
Credential	:	OMD. L. AC.
Telephone Number	:	213-387-4710

Provider Enumeration Date	:	07/27/2015
Last Update Date	:	07/27/2015

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Directions to “HEALTHCHOICE MANAGEMENT CENTER, INC. ” Practice Location

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