Basic Information
| Provider Information | |||||||||
| NPI: | 1952643223 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | CHOY | ||||||||
| FirstName: | WENDY | ||||||||
| MiddleName: | |||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | O.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 11600 WILSHIRE BLVD | ||||||||
| Address2: | SUITE 100 | ||||||||
| City: | LOS ANGELES | ||||||||
| State: | CA | ||||||||
| PostalCode: | 900255781 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3104733031 | ||||||||
| FaxNumber: | 3104778016 | ||||||||
| Practice Location | |||||||||
| Address1: | 11600 WILSHIRE BLVD | ||||||||
| Address2: | SUITE 100 | ||||||||
| City: | LOS ANGELES | ||||||||
| State: | CA | ||||||||
| PostalCode: | 900255781 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3104733031 | ||||||||
| FaxNumber: | 3104778016 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 03/25/2013 | ||||||||
| LastUpdateDate: | 03/25/2013 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 152W00000X | 12820T | CA | Y | Eye and Vision Services Providers | Optometrist |
No ID Information.