Provider Demographics
NPI:1467812180
Name:VALUE HEALTH CHOICE MEDICAL GROUP, INC.
Entity Type:Organization
Organization Name:VALUE HEALTH CHOICE MEDICAL GROUP, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:ARMANDO
Authorized Official - Middle Name:N
Authorized Official - Last Name:SOSA
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:714-723-4530
Mailing Address - Street 1:1811 W KATELLA AVE
Mailing Address - Street 2:STE#218
Mailing Address - City:ANAHEIM
Mailing Address - State:CA
Mailing Address - Zip Code:92804-6664
Mailing Address - Country:US
Mailing Address - Phone:714-833-5674
Mailing Address - Fax:714-733-5391
Practice Address - Street 1:1811 W KATELLA AVE
Practice Address - Street 2:STE#218
Practice Address - City:ANAHEIM
Practice Address - State:CA
Practice Address - Zip Code:92804-6664
Practice Address - Country:US
Practice Address - Phone:714-833-5674
Practice Address - Fax:714-733-5391
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-02-24
Last Update Date:2016-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207QA0505XAllopathic & Osteopathic PhysiciansFamily MedicineAdult MedicineGroup - Single Specialty