Provider Demographics
NPI:1649153578
Name:CALYX PRACTICE SOLUTIONS
Entity type:Organization
Organization Name:CALYX PRACTICE SOLUTIONS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:MIUREL
Authorized Official - Middle Name:
Authorized Official - Last Name:CORDOBA
Authorized Official - Suffix:
Authorized Official - Credentials:PA
Authorized Official - Phone:910-578-9235
Mailing Address - Street 1:201 E CENTER ST STE 112-3143
Mailing Address - Street 2:
Mailing Address - City:ANAHEIM
Mailing Address - State:CA
Mailing Address - Zip Code:92805-7204
Mailing Address - Country:US
Mailing Address - Phone:818-660-6423
Mailing Address - Fax:
Practice Address - Street 1:201 E CENTER ST STE 112-3143
Practice Address - Street 2:
Practice Address - City:ANAHEIM
Practice Address - State:CA
Practice Address - Zip Code:92805-7204
Practice Address - Country:US
Practice Address - Phone:818-660-6423
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-07-29
Last Update Date:2025-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health