Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RC0000X | Internist - Cardiovascular Disease | A88258 | CA |
NPI | 1013917046 |
---|---|
Provider Name | Dr. Sung Whan Choi |
First Address | San Francisco, CA 94115-2360 |
Second Address | San Francisco, CA 94115-1932 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 01/08/2005 |
Last Update Date | 17/10/2012 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
3196127 | (05) | CA |
G90405 | (02) |