Provider Demographics
NPI:1407968977
Name:CHOI, KAY (MD)
Entity Type:Individual
Prefix:DR
First Name:KAY
Middle Name:
Last Name:CHOI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1834 WEST LINCOLN AVENUE
Mailing Address - Street 2:SUITE J
Mailing Address - City:ANAHEIM
Mailing Address - State:CA
Mailing Address - Zip Code:92801-5425
Mailing Address - Country:US
Mailing Address - Phone:714-778-1192
Mailing Address - Fax:714-778-4840
Practice Address - Street 1:1834 W. LINCOLN AVENUE
Practice Address - Street 2:SUITE J
Practice Address - City:ANAHEIM
Practice Address - State:CA
Practice Address - Zip Code:92801-5425
Practice Address - Country:US
Practice Address - Phone:714-778-1192
Practice Address - Fax:714-778-4840
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-31
Last Update Date:2012-05-01
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAA029645207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAA29645Medicare PIN
CAA87259Medicare UPIN