Individual
KYU CHOI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
147 N BRENT ST, RADIOLOGY DEPARTMENT, VENTURA, CA 93003-2809
(805) 652-5028
Mailing address
20 EXECUTIVE PARK, STE 155, IRVINE, CA 92614-6736
(949) 263-8620
(800) 503-7224
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
C51176
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00C511760
BLUE SHIELD OF CA
CA
05
—
00C511760
—
CA
Enumeration date
06/06/2006
Last updated
08/16/2012
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