Basic Information
Provider Information
NPI: 1205487774
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: CHOI
FirstName: ERICA
MiddleName:  
NamePrefix: MS.
NameSuffix:  
Credential: WHNP
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 737 W CHILDS AVE
Address2:  
City: MERCED
State: CA
PostalCode: 953416805
CountryCode: US
TelephoneNumber: 8666824842
FaxNumber:  
Practice Location
Address1: 797 W CHILDS AVE
Address2:  
City: MERCED
State: CA
PostalCode: 953416805
CountryCode: US
TelephoneNumber: 8666824842
FaxNumber: 2093831402
Other Information
ProviderEnumerationDate: 09/25/2019
LastUpdateDate: 12/06/2019
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
163WW0101X95205567CAN Nursing Service ProvidersRegistered NurseWomen's Health Care, Ambulatory
363LW0102X95013392CAY Physician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health

No ID Information.


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