Healthcare Provider Details

I. General information

NPI: 1013073295
Provider Name (Legal Business Name): ANDREW E. CHOY, M.D. MEDICAL CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/29/2006
Last Update Date: 01/24/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4100 LONG BEACH BLVD SUITE 108
LONG BEACH CA
90807-2696
US

IV. Provider business mailing address

4100 LONG BEACH BLVD SUITE 108
LONG BEACH CA
90807-2696
US

V. Phone/Fax

Practice location:
  • Phone: 562-426-3925
  • Fax: 562-595-7639
Mailing address:
  • Phone: 562-426-3925
  • Fax: 562-595-7639

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207W00000X
TaxonomyOphthalmology Physician
License NumberG19289
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code207W00000X
TaxonomyOphthalmology Physician
License NumberG27278
License Number StateCA
# 3
Primary TaxonomyN
Taxonomy Code207W00000X
TaxonomyOphthalmology Physician
License NumberG34354
License Number StateCA
# 4
Primary TaxonomyN
Taxonomy Code207W00000X
TaxonomyOphthalmology Physician
License NumberG80142
License Number StateCA
# 5
Primary TaxonomyN
Taxonomy Code207W00000X
TaxonomyOphthalmology Physician
License NumberG50212
License Number StateCA
# 6
Primary TaxonomyY
Taxonomy Code207W00000X
TaxonomyOphthalmology Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. ANDREW ENG CHOY
Title or Position: PRESIDENT
Credential: M.D.
Phone: 562-426-3925