Provider Demographics
NPI:1922233303
Name:CHOI, BETTY HUO (MD)
Entity Type:Individual
Prefix:
First Name:BETTY
Middle Name:HUO
Last Name:CHOI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:BETTY
Other - Middle Name:JOY
Other - Last Name:HUO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:10833 LE CONTE AVE
Mailing Address - Street 2:UCLA MEDICAL CENTER DEPARTMENT OF PEDIATRICS
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90095
Mailing Address - Country:US
Mailing Address - Phone:310-825-6752
Mailing Address - Fax:310-794-6623
Practice Address - Street 1:UCLA DEPARTMENT OF PEDIATRICS
Practice Address - Street 2:BOX 951752, 12-494 MDCC
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90095-1752
Practice Address - Country:US
Practice Address - Phone:310-825-6752
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-05-28
Last Update Date:2012-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA121427208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00A124270Medicaid
CAGG101ZMedicare PIN