Healthcare Provider Details

I. General information

NPI: 1649153578
Provider Name (Legal Business Name): CALYX PRACTICE SOLUTIONS INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/29/2025
Last Update Date: 02/02/2026
Certification Date: 02/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

201 E CENTER ST STE 112-3143
ANAHEIM CA
92805-7204
US

IV. Provider business mailing address

201 E CENTER ST STE 112-3143
ANAHEIM CA
92805-7204
US

V. Phone/Fax

Practice location:
  • Phone: 818-660-6423
  • Fax:
Mailing address:
  • Phone: 818-660-6423
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: MS. MIUREL CORDOBA
Title or Position: CEO
Credential: PA
Phone: 910-578-9235