Healthcare Provider Details

I. General information

NPI: 1730197344
Provider Name (Legal Business Name): CHESTER CHOI M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/03/2006
Last Update Date: 12/14/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1050 LINDEN AVE DEPT. OF MEDICAL EDUCATION
LONG BEACH CA
90813-3321
US

IV. Provider business mailing address

1050 LINDEN AVE DEPT. OF MEDICAL EDUCATION
LONG BEACH CA
90813-3321
US

V. Phone/Fax

Practice location:
  • Phone: 562-491-9352
  • Fax: 562-491-9146
Mailing address:
  • Phone: 562-491-9352
  • Fax: 562-491-9146

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RI0200X
TaxonomyInfectious Disease Physician
License NumberG27260
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: