Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207N00000X | Dermatologist | A163912 | CA |
NPI | 1033500798 |
---|---|
Provider Name | Dr. Andrew Wonho Choi |
First Address | San Diego, CA 92122-1010 |
Second Address | San Diego, CA 92122-1010 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 16/02/2015 |
Last Update Date | 04/08/2021 |