Healthcare Provider Details

I. General information

NPI: 1922233303
Provider Name (Legal Business Name): BETTY HUO CHOI M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: BETTY JOY HUO M.D.

II. Dates (important events)

Enumeration Date: 05/28/2009
Last Update Date: 10/24/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

UCLA DEPARTMENT OF PEDIATRICS BOX 951752, 12-494 MDCC
LOS ANGELES CA
90095-1752
US

IV. Provider business mailing address

10833 LE CONTE AVE UCLA MEDICAL CENTER DEPARTMENT OF PEDIATRICS
LOS ANGELES CA
90095
US

V. Phone/Fax

Practice location:
  • Phone: 310-825-6752
  • Fax:
Mailing address:
  • Phone: 310-825-6752
  • Fax: 310-794-6623

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberA121427
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: