Provider Demographics
NPI:1508958505
Name:CHOI, ANDREW K (MD)
Entity Type:Individual
Prefix:DR
First Name:ANDREW
Middle Name:K
Last Name:CHOI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:3323 W OLYMPIC BLVD
Mailing Address - Street 2:SUITE 215
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90019-2339
Mailing Address - Country:US
Mailing Address - Phone:323-737-1717
Mailing Address - Fax:323-737-1855
Practice Address - Street 1:3323 W OLYMPIC BLVD
Practice Address - Street 2:SUITE 215
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90019-2339
Practice Address - Country:US
Practice Address - Phone:323-737-1717
Practice Address - Fax:323-737-1855
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-28
Last Update Date:2015-07-29
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAA41771207YS0123X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207YS0123XAllopathic & Osteopathic PhysiciansOtolaryngologyFacial Plastic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAA41771Medicare ID - Type Unspecified
CAA85699Medicare UPIN