Provider Demographics
NPI:1699031187
Name:THE DOCTOR'S CHOICE AGENCY
Entity Type:Organization
Organization Name:THE DOCTOR'S CHOICE AGENCY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT, CEO
Authorized Official - Prefix:
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:
Authorized Official - Last Name:WITTENBERG
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:213-252-9383
Mailing Address - Street 1:3434 W 6TH ST
Mailing Address - Street 2:SUITE 402
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90020-2536
Mailing Address - Country:US
Mailing Address - Phone:213-252-9383
Mailing Address - Fax:
Practice Address - Street 1:3434 W 6TH ST
Practice Address - Street 2:SUITE 402
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90020-2536
Practice Address - Country:US
Practice Address - Phone:213-252-9383
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-04-09
Last Update Date:2012-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health