Individual
MEERYO CHRISTA CHOE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
UCLA DIVISION OF PEDIATRIC NEUROLOGY, 10833 LECONTE AVENUE, MDCC 22-474, LOS ANGELES, CA 90095-0001
(310) 825-6196
Mailing address
10405 INDEPENDENCE AVENUE, CHATSWORTH, CA 91311
(818) 516-5503
Taxonomy
Speciality
Code
Description
License number
State
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
Primary
A96058
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A960580
—
CA
01
—
1306124037
MEDI CAL
CA
Enumeration date
07/29/2011
Last updated
01/14/2013
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