Provider Demographics
NPI:1013073295
Name:ANDREW E. CHOY, M.D. MEDICAL CORPORATION
Entity Type:Organization
Organization Name:ANDREW E. CHOY, M.D. MEDICAL CORPORATION
Other - Org Name:FAMILY EYE MEDICAL GROUP
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ANDREW
Authorized Official - Middle Name:ENG
Authorized Official - Last Name:CHOY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:562-426-3925
Mailing Address - Street 1:4100 LONG BEACH BLVD
Mailing Address - Street 2:SUITE 108
Mailing Address - City:LONG BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:90807-2696
Mailing Address - Country:US
Mailing Address - Phone:562-426-3925
Mailing Address - Fax:562-595-7639
Practice Address - Street 1:4100 LONG BEACH BLVD
Practice Address - Street 2:SUITE 108
Practice Address - City:LONG BEACH
Practice Address - State:CA
Practice Address - Zip Code:90807-2696
Practice Address - Country:US
Practice Address - Phone:562-426-3925
Practice Address - Fax:562-595-7639
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-29
Last Update Date:2013-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG19289207W00000X
CAG27278207W00000X
CAG34354207W00000X
CAG80142207W00000X
CAG50212207W00000X
207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAGR0008250OtherPIN
CAGR0008250Medicaid
CAGR0008250Medicaid