Provider Demographics
NPI:1578938627
Name:LAU, TSZ CHOI (MS, RD, CDN)
Entity Type:Individual
Prefix:MR
First Name:TSZ CHOI
Middle Name:
Last Name:LAU
Suffix:
Gender:M
Credentials:MS, RD, CDN
Other - Prefix:MR
Other - First Name:JASON
Other - Middle Name:
Other - Last Name:LAU
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MS, RD, CDN
Mailing Address - Street 1:77 HERMANN ST APT 25
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94102-6220
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:77 HERMANN ST APT 25
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94102-6220
Practice Address - Country:US
Practice Address - Phone:415-810-5378
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-12-01
Last Update Date:2015-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY01107061133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered