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NPI Code Detail

MEDICARE: DR. WALTER HYUNMIN CHOI M.D.

MEDICARE: DR. WALTER HYUNMIN CHOI M.D.
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
12085R0001XRadiation Oncology Physician230850-1NY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1871700500
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. WALTER HYUNMIN CHOI M.D.
Provider Business Mailing Address
First Line : PO BOX 30235
Second Line :
City : LOS ANGELES
State : CA
Zip : 90030-0235
Country : US
Telephone Number : 718-445-3700
Fax Number : 718-460-4051
Provider Business Practice Location Address
First Line : 15806 NORTHERN BLVD
Second Line :
City : FLUSHING
State : NY
Zip : 11358-1641
Country : US
Telephone Number : 718-445-3700
Fax Number : 718-460-4051
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/16/2007
Last Update Date : 12/13/2017

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