Provider Demographics
NPI:1528673811
Name:CHOIX INC
Entity type:Organization
Organization Name:CHOIX INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO & NURSE PRACTITIONER
Authorized Official - Prefix:
Authorized Official - First Name:CYNTHIA
Authorized Official - Middle Name:
Authorized Official - Last Name:ADAM
Authorized Official - Suffix:
Authorized Official - Credentials:NP
Authorized Official - Phone:858-414-1430
Mailing Address - Street 1:1299 4TH ST STE 202E
Mailing Address - Street 2:
Mailing Address - City:SAN RAFAEL
Mailing Address - State:CA
Mailing Address - Zip Code:94901-3028
Mailing Address - Country:US
Mailing Address - Phone:800-873-0406
Mailing Address - Fax:
Practice Address - Street 1:1299 4TH ST STE 202E
Practice Address - Street 2:
Practice Address - City:SAN RAFAEL
Practice Address - State:CA
Practice Address - Zip Code:94901-3028
Practice Address - Country:US
Practice Address - Phone:800-873-0406
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-09-13
Last Update Date:2020-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary CareGroup - Single Specialty