# FAMILY CHOICE MEDICAL GROUP

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1619049798
- **Authorized official:** TAHLIA DANG (IPA COORDINATOR)
- **Authorized official phone:** (714) 898-0765

## Contact information

- **Practice address:** 7631 WYOMING ST STE 201, WESTMINSTER, CA 92683-3904
- **Practice address phone:** (714) 898-0765
- **Practice address fax:** (714) 898-0610
- **Mailing address:** 7631 WYOMING ST STE 201, WESTMINSTER, CA 92683-3904
- **Mailing address phone:** (714) 898-0765
- **Mailing address fax:** (714) 898-0610

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 302R00000X | Health Maintenance Organization | — | NULL | Yes |

## Other

- **Enumeration date:** 11/14/2006
- **Last updated:** 07/18/2022