Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207KA0200X | Allergist | A50663 | CA |
NPI | 1639136690 |
---|---|
Provider Name | Dr. Anita Carmen Choy |
First Address | Palo Alto, CA 94304-1416 |
Second Address | Palo Alto, CA 94304-1904 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 26/04/2006 |
Last Update Date | 31/05/2017 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
A50663 | STATE LICENSE (01) | CA |
BC4435423 | DEA (01) | CA |
G01530 | (02) | CA |