Hichang Choi, M.d., Inc. | |
12229 Artesia Blvd Cerritos CA 90703-8143 | |
(562) 865-5121 | |
(562) 865-2321 |
Full Name | Hichang Choi, M.d., Inc. |
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Speciality | Internal Medicine |
Location | 12229 Artesia Blvd, Cerritos, California |
Authorized Official Name and Position | Hichang Choi (OWNER) |
Authorized Official Contact | 5628655121 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Hichang Choi, M.d., Inc. 12229 Artesia Blvd Cerritos CA 90703-8143 Ph: (562) 865-5121 | Hichang Choi, M.d., Inc. 12229 Artesia Blvd Cerritos CA 90703-8143 Ph: (562) 865-5121 |
NPI Number | 1053590208 |
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Provider Enumeration Date | 10/24/2007 |
Last Update Date | 10/24/2007 |
Medicare PECOS PAC ID | 9537186457 |
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Medicare Enrollment ID | O20051031000478 |
Identifier | Type | State | Issuer |
---|---|---|---|
1053590208 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | A75490 (California) | Primary |
Provider Name | Hichang J Choi |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1245308238 PECOS PAC ID: 7719904531 Enrollment ID: I20051101000202 |
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