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NPI Code Detail

MEDICARE: DR. NANCY CHOI PSY.D

MEDICARE: DR. NANCY CHOI PSY.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
1103TC0700XClinical PsychologistPSY 21312CA

General Provider Information

NPI Number : 1982758157
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. NANCY CHOI PSY.D
Provider Business Mailing Address
First Line : PO BOX 123
Second Line :
City : GLENDALE
State : CA
Zip : 91209-0123
Country : US
Telephone Number : 818-427-7713
Fax Number :
Provider Business Practice Location Address
First Line : 340 N MADISON AVE
Second Line :
City : LOS ANGELES
State : CA
Zip : 90004-3504
Country : US
Telephone Number : 323-644-2026
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/23/2007
Last Update Date : 09/08/2010

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