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NPI Code Detail

MEDICARE: DIANA CHOI

MEDICARE: DIANA CHOI
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1183500000XPharmacistRPH 69294CA
21835P0018XPharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistRPH 69294CA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1RPH 69294OTHERCAPHARMACIST LICENSE

General Provider Information

NPI Number : 1649671363
Entity Type Code : Individual
Provider Name (Legal Business Name) : DIANA CHOI
Provider Business Mailing Address
First Line : 15435 S WESTERN AVE
Second Line : STE 100-C
City : GARDENA
State : CA
Zip : 90249-4323
Country : US
Telephone Number : 310-353-2699
Fax Number : 310-353-2696
Provider Business Practice Location Address
First Line : 15435 S WESTERN AVE
Second Line : STE 100-C
City : GARDENA
State : CA
Zip : 90249-4323
Country : US
Telephone Number : 310-353-2699
Fax Number : 310-353-2696
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/12/2014
Last Update Date : 04/18/2016

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Directions to “ DIANA CHOI ” Practice Location

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