Active NPI
Premier Choice Medi
- Case Management Agency
- Anaheim, CA
National Provider Identifier
1306088109
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Management Agency
- Legal business name
- PREMIER CHOICE MEDI
- Practice address
- 2260 W Lincoln Ave Apt J6
Anaheim, CA 92801-6531 - Phone
- (310) 365-6311
- Fax
- (714) 898-2589
- NPI assigned
- Mar 26, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Il Han Choi
- Title
- Owner
- Phone
- (310) 365-6311
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Management Agency | 251B00000X | Primary |
Addresses
Primary practice location
2260 W Lincoln Ave Apt J6
Anaheim, CA 92801-6531
Mailing address
2260 W Lincoln Ave Apt J6
Anaheim, CA 92801-6531
Phone (310) 365-6311
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1238025600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1238112000000",
"number": "1306088109",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2260 W LINCOLN AVE APT J6",
"city": "ANAHEIM",
"state": "CA",
"postal_code": "928016531",
"telephone_number": "310-365-6311",
"fax_number": "714-898-2589"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2260 W LINCOLN AVE APT J6",
"city": "ANAHEIM",
"state": "CA",
"postal_code": "928016531",
"telephone_number": "310-365-6311",
"fax_number": "714-898-2589"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PREMIER CHOICE MEDI",
"organizational_subpart": "NO",
"enumeration_date": "2009-03-26",
"last_updated": "2009-03-27",
"status": "A",
"authorized_official_last_name": "CHOI",
"authorized_official_first_name": "IL HAN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "310-365-6311",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "251B00000X",
"taxonomy_group": "",
"desc": "Case Management",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Anaheim, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.