Provider Demographics
NPI:1437510310
Name:CHOI, OLIVIA (MD, PHD)
Entity Type:Individual
Prefix:DR
First Name:OLIVIA
Middle Name:
Last Name:CHOI
Suffix:
Gender:F
Credentials:MD, PHD
Other - Prefix:DR
Other - First Name:OLIVIA
Other - Middle Name:
Other - Last Name:TWU
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD,PHD
Mailing Address - Street 1:120 S EL CAMINO REAL APT 319
Mailing Address - Street 2:
Mailing Address - City:MILLBRAE
Mailing Address - State:CA
Mailing Address - Zip Code:94030-3136
Mailing Address - Country:US
Mailing Address - Phone:419-944-1787
Mailing Address - Fax:419-833-4983
Practice Address - Street 1:2425 GEARY BLVD
Practice Address - Street 2:M160
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94115-3358
Practice Address - Country:US
Practice Address - Phone:415-833-9182
Practice Address - Fax:419-833-4983
Is Sole Proprietor?:No
Enumeration Date:2016-03-18
Last Update Date:2020-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXS4746207N00000X
CAA152289207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology