Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207QA0505X | Family Doctor - Adult Medicine | A54943 | CA |
NPI | 1245273820 |
---|---|
Provider Name | Dr. Edwin H Choi |
First Address | Los Angeles, CA 90020-3047 |
Second Address | Los Angeles, CA 90020 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 13/06/2006 |
Last Update Date | 05/11/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00A549430 | (05) | CA |
H44052 | (02) | CA |