Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207YS0123X | Facial Plastic Surgeon | A41771 | CA |
NPI | 1508958505 |
---|---|
Provider Name | Dr. Andrew K. Choi |
First Address | Los Angeles, CA 90019-2339 |
Second Address | Los Angeles, CA 90019-2339 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 28/09/2006 |
Last Update Date | 29/07/2015 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
A85699 | (02) | CA |