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NPI Code Detail

MEDICARE: DR. GERALD YOUNG CHOI D.O.

MEDICARE:  DR. GERALD YOUNG CHOI  D.O.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207L00000XAnesthesiology Physician8722CA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1020A87220OTHERCABLUE SHIELD OF CA
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1477553279
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. GERALD YOUNG CHOI D.O.
Provider Business Mailing Address
First Line : 1100 MARSHALL WAY
Second Line : ANESTHESIA DEPT.
City : PLACERVILLE
State : CA
Zip : 95667-6533
Country : US
Telephone Number : 530-622-1441
Fax Number :
Provider Business Practice Location Address
First Line : 1100 MARSHALL WAY
Second Line : ANESTHESIA DEPT.
City : PLACERVILLE
State : CA
Zip : 95667-6533
Country : US
Telephone Number : 530-622-1441
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/22/2005
Last Update Date : 01/31/2024

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Directions to “ DR. GERALD YOUNG CHOI D.O.” Practice Location

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