Healthcare Provider Details

I. General information

NPI: 1811067911
Provider Name (Legal Business Name): LEI WANG CHOI M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: FENG LEI WANG M.D.

II. Dates (important events)

Enumeration Date: 11/08/2006
Last Update Date: 11/30/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3801 SACRAMENTO ST 3 FLOOR
SAN FRANCISCO CA
94118-1625
US

IV. Provider business mailing address

610 8TH AVE
SAN FRANCISCO CA
94118-3702
US

V. Phone/Fax

Practice location:
  • Phone: 415-600-2402
  • Fax: 415-379-9870
Mailing address:
  • Phone: 415-563-3980
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberA88197
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: