Provider Demographics
NPI:1902552003
Name:LILLIAN CHOI MD INC
Entity Type:Organization
Organization Name:LILLIAN CHOI MD INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DR
Authorized Official - Prefix:
Authorized Official - First Name:LILLIAN
Authorized Official - Middle Name:YOUNGJU
Authorized Official - Last Name:CHOI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:510-427-5707
Mailing Address - Street 1:360 E YOSEMITE AVE STE 300
Mailing Address - Street 2:
Mailing Address - City:MERCED
Mailing Address - State:CA
Mailing Address - Zip Code:95340-8201
Mailing Address - Country:US
Mailing Address - Phone:209-720-7183
Mailing Address - Fax:209-720-7371
Practice Address - Street 1:360 E YOSEMITE AVE STE 300
Practice Address - Street 2:
Practice Address - City:MERCED
Practice Address - State:CA
Practice Address - Zip Code:95340-8201
Practice Address - Country:US
Practice Address - Phone:209-720-7183
Practice Address - Fax:209-720-7371
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-02-28
Last Update Date:2022-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterologyGroup - Single Specialty