MEDICARE: CALYX PRACTICE SOLUTIONS 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	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1649153578
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CALYX PRACTICE SOLUTIONS INC

Provider Business Mailing Address
First Line	:	201 E CENTER ST STE 112-3143
Second Line	:
City	:	ANAHEIM
State	:	CA
Zip	:	92805-7204
Country	:	US
Telephone Number	:	818-660-6423
Fax Number	:

Provider Business Practice Location Address
First Line	:	201 E CENTER ST STE 112-3143
Second Line	:
City	:	ANAHEIM
State	:	CA
Zip	:	92805-7204
Country	:	US
Telephone Number	:	818-660-6423
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	MS. MIUREL CORDOBA
Credential	:	PA
Telephone Number	:	910-578-9235

Provider Enumeration Date	:	07/29/2025
Last Update Date	:	12/10/2025

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