CAL CHOICE FAMILY PRACTICE INC NPI 1164448593

NPI Information

  • NPI: 1164448593
  • Provider Name: CAL CHOICE FAMILY PRACTICE INC
  • Classification: Clinic/Center - 261Q00000X
  • Entity Type: Organization
  • CLIA Number: 05D1046843
  • Address: 16245 DESERT KNOLL DR
    VICTORVILLE, CA
    ZIP 92395
  • Phone: (760) 955-9555

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NPI Details

CAL CHOICE FAMILY PRACTICE INC is a clinic center in Victorville, CA. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). CAL CHOICE FAMILY PRACTICE INC NPI is 1164448593. The provider is registered as an organization entity type.

The provider's business location address is:

16245 DESERT KNOLL DR
VICTORVILLE, CA
ZIP 92395-011
Phone: (760) 955-9555
Fax: (760) 955-8558

The provider's authorized official is Melissa Graham .
The authorized official title is Billing Manager and has the following contact phone number (760) 955-9555.

The CLIA number assigned to this NPI record is 05D1046843 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/15/2006 and was last updated on 1/9/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261Q00000XClinic/CenterA87666CALIFORNIAYes
2261Q00000XClinic/CenterNo

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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