Healthcare Provider Details

I. General information

NPI: 1699736132
Provider Name (Legal Business Name): LAUREN EUN-JUNG CHOI M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/31/2006
Last Update Date: 11/05/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2699 ATLANTIC AVE
LONG BEACH CA
90806-2710
US

IV. Provider business mailing address

2699 ATLANTIC AVE
LONG BEACH CA
90806-2710
US

V. Phone/Fax

Practice location:
  • Phone: 562-426-3333
  • Fax: 562-424-0837
Mailing address:
  • Phone: 562-426-3333
  • Fax: 562-424-0837

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RE0101X
TaxonomyEndocrinology, Diabetes & Metabolism Physician
License NumberA78003
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: