Provider Demographics
NPI:1083990352
Name:CHOI, SUZY MILIM (PA)
Entity Type:Individual
Prefix:MRS
First Name:SUZY
Middle Name:MILIM
Last Name:CHOI
Suffix:
Gender:F
Credentials:PA
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Mailing Address - Street 1:2100 POWELL ST
Mailing Address - Street 2:900
Mailing Address - City:EMERYVILLE
Mailing Address - State:CA
Mailing Address - Zip Code:94608-1826
Mailing Address - Country:US
Mailing Address - Phone:510-350-2600
Mailing Address - Fax:510-879-9130
Practice Address - Street 1:500 W HOSPITAL RD
Practice Address - Street 2:
Practice Address - City:FRENCH CAMP
Practice Address - State:CA
Practice Address - Zip Code:95231-9693
Practice Address - Country:US
Practice Address - Phone:510-350-2600
Practice Address - Fax:510-879-9130
Is Sole Proprietor?:No
Enumeration Date:2011-10-31
Last Update Date:2016-09-19
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAPA 21894363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant