Provider Demographics
NPI:1790769818
Name:CHOI, LILLIAN Y (MD)
Entity Type:Individual
Prefix:
First Name:LILLIAN
Middle Name:Y
Last Name:CHOI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:360 E YOSEMITE AVE STE 300
Mailing Address - Street 2:
Mailing Address - City:MERCED
Mailing Address - State:CA
Mailing Address - Zip Code:95340-8201
Mailing Address - Country:US
Mailing Address - Phone:209-720-7183
Mailing Address - Fax:209-720-7371
Practice Address - Street 1:360 E YOSEMITE AVE STE 300
Practice Address - Street 2:
Practice Address - City:MERCED
Practice Address - State:CA
Practice Address - Zip Code:95340-8201
Practice Address - Country:US
Practice Address - Phone:209-720-7183
Practice Address - Fax:209-720-7371
Is Sole Proprietor?:No
Enumeration Date:2005-12-01
Last Update Date:2022-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ30991207RG0100X
CAA70839207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology