Provider Demographics
NPI:1477555985
Name:CHOI, THOMAS BOO-HUN (MD)
Entity Type:Individual
Prefix:DR
First Name:THOMAS
Middle Name:BOO-HUN
Last Name:CHOI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10800 PARAMOUNT BLVD
Mailing Address - Street 2:SUITE 304
Mailing Address - City:DOWNEY
Mailing Address - State:CA
Mailing Address - Zip Code:90241-3331
Mailing Address - Country:US
Mailing Address - Phone:562-622-3937
Mailing Address - Fax:562-622-0040
Practice Address - Street 1:10800 PARAMOUNT BLVD
Practice Address - Street 2:SUITE 304
Practice Address - City:DOWNEY
Practice Address - State:CA
Practice Address - Zip Code:90241-3331
Practice Address - Country:US
Practice Address - Phone:562-622-3937
Practice Address - Fax:562-622-0040
Is Sole Proprietor?:No
Enumeration Date:2005-08-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG69677207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00G696770Medicaid
CA00G696770Medicaid
G69677DMedicare ID - Type Unspecified