| Dr Sooho Choi, MD | |
|
411 N Lakeview Ave, Second Floor, Anaheim, CA 92807-3028 | |
| (888) 988-2800 | |
| Not Available |
| Full Name | Dr Sooho Choi |
|---|---|
| Gender | Male |
| Speciality | Neurological Surgery |
| Location | 411 N Lakeview Ave, Anaheim, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225060973 | NPI | - | NPPES |
| 00G779590 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207T00000X | Neurological Surgery | G779590 (California) | Primary |
| Entity Name | Southern California Permanente Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1770515280 PECOS PAC ID: 6002729175 Enrollment ID: O20031110000678 |
| Entity Name | Southern California Permanente Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1316979834 PECOS PAC ID: 6002729175 Enrollment ID: O20040126000823 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Sooho Choi, MD 411 N Lakeview Ave, Second Floor, Anaheim, CA 92807-3028 Ph: (888) 988-2800 | Dr Sooho Choi, MD 411 N Lakeview Ave, Second Floor, Anaheim, CA 92807-3028 Ph: (888) 988-2800 |
William W. So, MD Neurological Surgery Medicare: Not Enrolled in Medicare Practice Location: 441 N Lakeview Ave, Anaheim, CA 92807 Phone: 888-988-2800 | |
John M. Casamiquela, MD Neurological Surgery Medicare: Not Enrolled in Medicare Practice Location: 411 N Lakeview Ave, Anaheim, CA 92807 Phone: 888-988-2800 | |
Richard Anthony Stea, MD Neurological Surgery Medicare: Medicare Enrolled Practice Location: 441 N Lakeview Ave, Anaheim, CA 92807 Phone: 888-988-2800 |