Provider Demographics
NPI:1225236649
Name:CHOI, CLARA Y (MD, PHD)
Entity Type:Individual
Prefix:DR
First Name:CLARA
Middle Name:Y
Last Name:CHOI
Suffix:
Gender:F
Credentials:MD, PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3020 MONTEREY ST
Mailing Address - Street 2:
Mailing Address - City:SAN MATEO
Mailing Address - State:CA
Mailing Address - Zip Code:94403-3249
Mailing Address - Country:US
Mailing Address - Phone:650-212-7387
Mailing Address - Fax:
Practice Address - Street 1:3020 MONTEREY ST
Practice Address - Street 2:
Practice Address - City:SAN MATEO
Practice Address - State:CA
Practice Address - Zip Code:94403-3249
Practice Address - Country:US
Practice Address - Phone:650-212-7387
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA840392085R0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0001XAllopathic & Osteopathic PhysiciansRadiologyRadiation Oncology