Healthcare Provider Details

I. General information

NPI: 1326478462
Provider Name (Legal Business Name): FIRST CHOICE PHYSICIAN PARTNERS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/26/2013
Last Update Date: 06/06/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

16671 YORBA LINDA BLVD SUITE 210
YORBA LINDA CA
92886-2046
US

IV. Provider business mailing address

16671 YORBA LINDA BLVD SUITE 210
YORBA LINDA CA
92886-2046
US

V. Phone/Fax

Practice location:
  • Phone: 714-447-4800
  • Fax:
Mailing address:
  • Phone: 714-447-4800
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207VG0400X
TaxonomyGynecology Physician
License Number
License Number State

VIII. Authorized Official

Name: MR. JEFF KOURY
Title or Position: CEO
Credential:
Phone: 714-428-6842