Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 170100000X | Medical Geneticist | C42816 | CA |
NPI | 1134163223 |
---|---|
Provider Name | Dr. Ki Hong Choe |
First Address | Fullerton, CA 92833-5097 |
Second Address | Garden Grove, CA 92844-1550 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 16/06/2006 |
Last Update Date | 08/12/2009 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
E99662 | (02) | CA |