Provider Demographics
NPI:1083966691
Name:FIRST CHOICE PHYSICIAN PARTNERS
Entity Type:Organization
Organization Name:FIRST CHOICE PHYSICIAN PARTNERS
Other - Org Name:ANAHEIM HILLS PRIMARY CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:SVP REGIONAL OPERATIONS, TENET
Authorized Official - Prefix:MR
Authorized Official - First Name:JEFF
Authorized Official - Middle Name:
Authorized Official - Last Name:KOURY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:714-428-6842
Mailing Address - Street 1:500 S ANAHEIM HILLS RD
Mailing Address - Street 2:STE 242
Mailing Address - City:ANAHEIM
Mailing Address - State:CA
Mailing Address - Zip Code:92807-4780
Mailing Address - Country:US
Mailing Address - Phone:714-974-0611
Mailing Address - Fax:714-221-2345
Practice Address - Street 1:500 S ANAHEIM HILLS RD
Practice Address - Street 2:STE 242
Practice Address - City:ANAHEIM
Practice Address - State:CA
Practice Address - Zip Code:92807-4780
Practice Address - Country:US
Practice Address - Phone:714-974-0611
Practice Address - Fax:714-221-2345
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:FIRST CHOICE PHYSICIAN PARTNERS
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2012-10-05
Last Update Date:2016-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty