1386798940 NPI number — HELEN UHM CHOI

Table of content: (NPI 1386798940)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1386798940 NPI number — HELEN UHM CHOI

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
HELEN UHM CHOI
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
6
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1386798940
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
03/07/2023
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
9545 FOLSOM BLVD
Provider Second Line Business Mailing Address:
SUITE 7
Provider Business Mailing Address City Name:
SACRAMENTO
Provider Business Mailing Address State Name:
CA
Provider Business Mailing Address Postal Code:
95827-1209
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
916-364-9900
Provider Business Mailing Address Fax Number:
916-364-3417

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
9545 FOLSOM BLVD
Provider Second Line Business Practice Location Address:
SUITE 7
Provider Business Practice Location Address City Name:
SACRAMENTO
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
95827-1209
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
916-364-9900
Provider Business Practice Location Address Fax Number:
916-364-3417
Provider Enumeration Date:
01/22/2007

Additional Information

Authorized Official

Authorized Official Last Name:
CHOI
Authorized Official First Name:
HELEN
Authorized Official Middle Name:
UHM
Authorized Official Title or Position:
OWNER
Authorized Official Telephone Number:
916-364-9900

Provider Taxonomy Codes

  • Taxonomy code: 183500000X , with the licence number:  55375 , registered in the state of CA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: PHA483910 , issued by the state of ( CA ) . This identifiers is of the category "MEDICAID".
  • Identifier: ZZZ06936Z . This is a "FLU PROVIDER" identifier , issued by the state of ( CA ) . This identifiers is of the category "OTHER".




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