Provider Demographics
NPI:1871504704
Name:CHOICE CARE, INC.
Entity Type:Organization
Organization Name:CHOICE CARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:DANIEL
Authorized Official - Middle Name:
Authorized Official - Last Name:BUDA
Authorized Official - Suffix:
Authorized Official - Credentials:DO, DSC, PT
Authorized Official - Phone:714-901-7800
Mailing Address - Street 1:12495 VALLEY VIEW ST
Mailing Address - Street 2:
Mailing Address - City:GARDEN GROVE
Mailing Address - State:CA
Mailing Address - Zip Code:92845-2032
Mailing Address - Country:US
Mailing Address - Phone:714-901-7800
Mailing Address - Fax:714-901-2300
Practice Address - Street 1:12495 VALLEY VIEW ST
Practice Address - Street 2:
Practice Address - City:GARDEN GROVE
Practice Address - State:CA
Practice Address - Zip Code:92845-2032
Practice Address - Country:US
Practice Address - Phone:714-901-7800
Practice Address - Fax:714-901-2300
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-09
Last Update Date:2019-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPT23646261QP2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA104798900OtherACS
CAZZZ07454ZOtherBLUE SHIELD
CA2147108OtherFIRST HEALTH
CAUN2CU3OtherCIGNA
CA135791OtherBLUE CROSS
CAPT0236460Medicaid