Provider Demographics
NPI:1174339758
Name:SMART CHOICE HEALTH CENTER
Entity type:Organization
Organization Name:SMART CHOICE HEALTH CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:SERGEY
Authorized Official - Middle Name:
Authorized Official - Last Name:ARAKELYAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:424-394-7189
Mailing Address - Street 1:7251 TOPANGA CANYON BLVD STE E1
Mailing Address - Street 2:
Mailing Address - City:CANOGA PARK
Mailing Address - State:CA
Mailing Address - Zip Code:91303-1269
Mailing Address - Country:US
Mailing Address - Phone:747-444-9062
Mailing Address - Fax:
Practice Address - Street 1:7251 TOPANGA CANYON BLVD STE E1
Practice Address - Street 2:
Practice Address - City:CANOGA PARK
Practice Address - State:CA
Practice Address - Zip Code:91303-1269
Practice Address - Country:US
Practice Address - Phone:747-444-9062
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-12-09
Last Update Date:2024-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty