MEDICARE: DR. MARK E CHOI MD

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
1	207V00000X	Obstetrics & Gynecology Physician	A38076	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1831231521
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MARK E CHOI MD

Provider Business Mailing Address
First Line	:	4082 WHITTIER BLVD
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90023-2558
Country	:	US
Telephone Number	:	323-265-0136
Fax Number	:	323-265-0166

Provider Business Practice Location Address
First Line	:	4082 WHITTIER BLVD
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90023-2558
Country	:	US
Telephone Number	:	626-265-0136
Fax Number	:	626-265-0166

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/12/2007
Last Update Date	:	02/03/2016

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Directions to “ DR. MARK E CHOI MD” Practice Location

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