Healthcare Provider Details

I. General information

NPI: 1902552003
Provider Name (Legal Business Name): LILLIAN CHOI MD INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/28/2022
Last Update Date: 02/28/2022
Certification Date: 02/28/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

360 E YOSEMITE AVE STE 300
MERCED CA
95340-8201
US

IV. Provider business mailing address

360 E YOSEMITE AVE STE 300
MERCED CA
95340-8201
US

V. Phone/Fax

Practice location:
  • Phone: 209-720-7183
  • Fax: 209-720-7371
Mailing address:
  • Phone: 209-720-7183
  • Fax: 209-720-7371

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RG0100X
TaxonomyGastroenterology Physician
License Number
License Number State

VIII. Authorized Official

Name: LILLIAN YOUNGJU CHOI
Title or Position: DR
Credential: MD
Phone: 510-427-5707