Provider Demographics
NPI:1770819633
Name:SMART CHOICE SERVICES INC
Entity Type:Organization
Organization Name:SMART CHOICE SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:BASIL
Authorized Official - Middle Name:L
Authorized Official - Last Name:ANDERSON
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:213-304-3454
Mailing Address - Street 1:1000 S HOPE ST
Mailing Address - Street 2:STE 201
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90015-1491
Mailing Address - Country:US
Mailing Address - Phone:213-304-3454
Mailing Address - Fax:213-232-7799
Practice Address - Street 1:1000 S HOPE ST
Practice Address - Street 2:STE 201
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90015-1491
Practice Address - Country:US
Practice Address - Phone:213-304-3454
Practice Address - Fax:213-232-7799
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-10-28
Last Update Date:2009-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAC52022207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty