CHOICE MEDICAL CLINIC, INC
Medical Practice at Mowry Ave, Fremont, CA

License number
California GR0006545
Category
Medical Practice
Type
Gynecology
Owner
Name: LIZA TAPIA VAUGHAN
Title: GENERAL MANAGER
Phone: (408) 995-0102
Address
Address 2
1895 Mowry Ave SUITE 116, Fremont, CA 94538
1834 Stone Ave SUITE 2B, San Jose, CA 95125
National Provider ID: 1497842561
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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Choice Medical Clinic Inc

San Jose, CA

Registration:
Mar 21, 1980
Addresses:
PO Box 5640, San Jose, CA 95150
586 N 1 St, San Jose, CA 95112
1834 Stone Ave, San Jose, CA 95125
State ID:
00978215
Business type:
Articles of Incorporation
President:
Norman M. Fisk (President)
Agent:
Lloyd J. Benjamin
Categories:
Clinics

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