Provider Demographics
NPI:1881148336
Name:CHOY, MARTIN FRANK (MD)
Entity type:Individual
Prefix:
First Name:MARTIN
Middle Name:FRANK
Last Name:CHOY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:81 CODY LN
Mailing Address - Street 2:
Mailing Address - City:LOS ALTOS
Mailing Address - State:CA
Mailing Address - Zip Code:94022-3053
Mailing Address - Country:US
Mailing Address - Phone:650-387-7347
Mailing Address - Fax:
Practice Address - Street 1:81 CODY LN
Practice Address - Street 2:
Practice Address - City:LOS ALTOS
Practice Address - State:CA
Practice Address - Zip Code:94022-3053
Practice Address - Country:US
Practice Address - Phone:650-387-7347
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-08-12
Last Update Date:2016-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG8548207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA1932297990Medicare UPIN