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NPI 1164699120

NPI 1164699120 : GENE CHOI MD : RIVERSIDE, CA

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General NPI Number Information
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    NPI Number           |    1164699120
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    Entity Type          |    Individual 
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    Provider Name        |    GENE CHOI MD
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    05/09/2008
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    Last Update Date     |    04/11/2025
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Provider Practice Location Address
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    Address Line         |    7117 BROCKTON AVE 
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    City                 |    RIVERSIDE
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    State                |    CA
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    Zip                  |    92506-2615
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    Country              |    US
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    Telephone            |    951-782-3764
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    Fax                  |    951-784-3262
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Provider Business Mailing Address
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    Address Line         |    7117 BROCKTON AVE 
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    City                 |    RIVERSIDE
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    State                |    CA
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    Zip                  |    92506-2658
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    Country              |    US
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    Telephone            |    951-782-3764
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    Fax                  |    951-784-3262
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    207X00000X
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    Taxonomy Name        |    Orthopaedic Surgery Physician
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    License Number       |    236801
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    License Number State |    NY
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Taxonomy #2
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    Taxonomy Code        |    207X00000X
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    Taxonomy Name        |    Orthopaedic Surgery Physician
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    License Number       |    A99534
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    License Number State |    CA
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