Provider Demographics
NPI:1083492862
Name:CHOY, STEPHEN VILLAR-FONG (PHARMD)
Entity Type:Individual
Prefix:
First Name:STEPHEN
Middle Name:VILLAR-FONG
Last Name:CHOY
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:31836 ALVARADO BLVD
Mailing Address - Street 2:
Mailing Address - City:UNION CITY
Mailing Address - State:CA
Mailing Address - Zip Code:94587-3913
Mailing Address - Country:US
Mailing Address - Phone:510-489-3955
Mailing Address - Fax:
Practice Address - Street 1:31836 ALVARADO BLVD
Practice Address - Street 2:
Practice Address - City:UNION CITY
Practice Address - State:CA
Practice Address - Zip Code:94587-3913
Practice Address - Country:US
Practice Address - Phone:510-489-3955
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-09-21
Last Update Date:2023-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA88653183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist