Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207KA0200X | Allergist | C42240 | CA |
N | 208000000X | Pediatrician | C42240 | CA |
NPI | 1659529386 |
---|---|
Provider Name | Dr. Eugene Y Choi |
First Address | Burlingame, CA 94010-5734 |
Second Address | Burlingame, CA 94010-5734 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 06/09/2008 |
Last Update Date | 06/09/2008 |