Healthcare Provider Details

I. General information

NPI: 1013044411
Provider Name (Legal Business Name): WEN-YIN CHOI DPM
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/27/2007
Last Update Date: 06/08/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4053 LONE TREE WAY
ANTIOCH CA
94531-6200
US

IV. Provider business mailing address

5625 LUDWIG AVE
EL CERRITO CA
94530-1633
US

V. Phone/Fax

Practice location:
  • Phone: 510-610-3618
  • Fax:
Mailing address:
  • Phone: 510-610-3618
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code213ES0131X
TaxonomyFoot Surgery Podiatrist
License NumberSC005925
License Number StatePA
# 2
Primary TaxonomyN
Taxonomy Code213ES0103X
TaxonomyFoot & Ankle Surgery Podiatrist
License NumberE4878
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: