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General NPI Number Information
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NPI Number | 1871504704
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Entity Type | Organization
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Legal Business Name | CHOICE CARE, INC.
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Dates
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Enumeration Date | 08/09/2006
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Last Update Date | 09/28/2019
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Provider Practice Location Address
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Address Line | 12495 VALLEY VIEW ST
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City | GARDEN GROVE
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State | CA
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Zip | 92845-2032
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Country | US
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Telephone | 714-901-7800
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Fax | 714-901-2300
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Provider Business Mailing Address
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Address Line | 12495 VALLEY VIEW ST
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City | GARDEN GROVE
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State | CA
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Zip | 92845-2032
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Country | US
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Telephone | 714-901-7800
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Fax | 714-901-2300
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Authorized Official
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Title or Position | PRESIDENT CEO
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Name | DR. DANIEL BUDA
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Credential | DO, DSC, PT
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Telephone | 714-901-7800
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2000X
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Taxonomy Name | Physical Therapy Clinic/Center
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License Number | PT23646
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License Number State | CA
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