Provider Demographics
NPI:1811067911
Name:CHOI, LEI WANG (MD)
Entity type:Individual
Prefix:
First Name:LEI
Middle Name:WANG
Last Name:CHOI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:FENG LEI
Other - Middle Name:
Other - Last Name:WANG
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:610 8TH AVE
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94118-3702
Mailing Address - Country:US
Mailing Address - Phone:415-563-3980
Mailing Address - Fax:
Practice Address - Street 1:3801 SACRAMENTO ST
Practice Address - Street 2:3 FLOOR
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94118-1625
Practice Address - Country:US
Practice Address - Phone:415-600-2402
Practice Address - Fax:415-379-9870
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-08
Last Update Date:2012-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA88197207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
G92409Medicare UPIN