Provider Demographics
NPI:1487831764
Name:HEALTH CHOICE
Entity Type:Organization
Organization Name:HEALTH CHOICE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ALEKSANDR
Authorized Official - Middle Name:
Authorized Official - Last Name:AYRIYAN
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:323-660-4408
Mailing Address - Street 1:5011 HOLLYWOOD BLVD
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90027-6103
Mailing Address - Country:US
Mailing Address - Phone:323-660-4408
Mailing Address - Fax:323-660-4495
Practice Address - Street 1:5011 HOLLYWOOD BLVD
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90027-6103
Practice Address - Country:US
Practice Address - Phone:323-660-4408
Practice Address - Fax:323-660-4495
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-01-29
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA305R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes305R00000XManaged Care OrganizationsPreferred Provider Organization