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Individual

AMI A CHOI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA

Contact information

Practice address
4004 BEYER BLVD, SAN YSIDRO, CA 92173-2007
(619) 428-4463
Mailing address
4004 BEYER BLVD, SAN YSIDRO, CA 92173-2007
(619) 428-4463

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA18509
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1083792311
CA
05
1740214733
CA
Enumeration date
11/02/2006
Last updated
02/09/2009
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