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General NPI Number Information
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NPI Number | 1942795117
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Entity Type | Individual
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Provider Name | SARA CHOI OD
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Gender | Female
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Dates
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Enumeration Date | 06/28/2018
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Last Update Date | 12/04/2024
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Provider Practice Location Address
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Address Line | 1103 PACIFIC COAST HWY
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City | SEAL BEACH
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State | CA
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Zip | 90740-6245
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Country | US
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Telephone | 562-666-9800
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Fax | 562-330-3900
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Provider Business Mailing Address
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Address Line | 2910 S GREENVILLE ST UNIT F
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City | SANTA ANA
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State | CA
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Zip | 92704-6048
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Country | US
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Telephone | 949-241-4663
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Fax |
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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 | 152W00000X
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Taxonomy Name | Optometrist
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License Number | OD-906
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License Number State | HI
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Taxonomy #2
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 33990TLG
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License Number State | CA
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