| Choice Psychiatric Medical Group | |
|
770 Magnolia Ave Ste 2f Corona CA 92879-3122 | |
| (951) 356-5414 | |
| (951) 356-5494 |
| Full Name | Choice Psychiatric Medical Group |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 770 Magnolia Ave Ste 2f, Corona, California |
| Authorized Official Name and Position | Aliuddin M Khaja (OWNER/PHYSICIAN) |
| Authorized Official Contact | 9513565414 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Choice Psychiatric Medical Group 770 Magnolia Ave Ste 2f Corona CA 92879-3122 Ph: (951) 356-5414 | Choice Psychiatric Medical Group 770 Magnolia Ave Ste 2f Corona CA 92879-3122 Ph: (951) 356-5414 |
| NPI Number | 1770889545 |
|---|---|
| Provider Enumeration Date | 01/26/2011 |
| Last Update Date | 08/30/2022 |
| Certification Date | 08/30/2022 |
| Medicare PECOS PAC ID | 6103001755 |
|---|---|
| Medicare Enrollment ID | O20110426000685 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770889545 | NPI | - | NPPES |
| Provider Name | Aliuddin M Khaja |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1477754612 PECOS PAC ID: 8123048998 Enrollment ID: I20091125000531 |
| Provider Name | Rubina M Faizy |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1467984427 PECOS PAC ID: 8224439757 Enrollment ID: I20210622001827 |
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