Provider Demographics
NPI:1831148618
Name:CHOY, ROBERT Y (DPM)
Entity type:Individual
Prefix:MR
First Name:ROBERT
Middle Name:Y
Last Name:CHOY
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:728 PACIFIC AVE STE 502
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94133-4449
Mailing Address - Country:US
Mailing Address - Phone:415-981-8828
Mailing Address - Fax:415-981-7002
Practice Address - Street 1:728 PACIFIC AVE
Practice Address - Street 2:STE 502
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94133-4449
Practice Address - Country:US
Practice Address - Phone:415-981-8828
Practice Address - Fax:415-981-7002
Is Sole Proprietor?:No
Enumeration Date:2006-05-09
Last Update Date:2023-12-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAE3203213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAE3203Medicaid
CAE3203Medicaid
E3203Medicare ID - Type Unspecified