Individual
CAROLINE CHOI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
325 GELLERT BLVD, DALY CITY, CA 94015-2613
(650) 270-2394
(650) 270-2396
Mailing address
3400 DATA DR, ATTN: CREDENTIALING/PAYER ENROLLMENT, RANCHO CORDOVA, CA 95670-7956
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
3747
CT
363A00000X
Physician Assistant
Primary
56762
CA
Other
Enumeration date
10/28/2016
Last updated
05/14/2019
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