MEDICARE: CHOICE CARE, 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	261QP2000X	Physical Therapy Clinic/Center	PT23646	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	104798900	OTHER	CA	ACS
2	ZZZ07454Z	OTHER	CA	BLUE SHIELD
3	2147108	OTHER	CA	FIRST HEALTH
4	UN2CU3	OTHER	CA	CIGNA
5	135791	OTHER	CA	BLUE CROSS
6	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1871504704
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CHOICE CARE, INC.

Provider Business Mailing Address
First Line	:	12495 VALLEY VIEW ST
Second Line	:
City	:	GARDEN GROVE
State	:	CA
Zip	:	92845-2032
Country	:	US
Telephone Number	:	714-901-7800
Fax Number	:	714-901-2300

Provider Business Practice Location Address
First Line	:	12495 VALLEY VIEW ST
Second Line	:
City	:	GARDEN GROVE
State	:	CA
Zip	:	92845-2032
Country	:	US
Telephone Number	:	714-901-7800
Fax Number	:	714-901-2300

Authorized Official
Title or Position	:	PRESIDENT CEO
Name	:	DR. DANIEL BUDA
Credential	:	DO, DSC, PT
Telephone Number	:	714-901-7800

Provider Enumeration Date	:	08/09/2006
Last Update Date	:	09/28/2019

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Directions to “CHOICE CARE, INC. ” Practice Location

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