Provider Demographics
NPI:1053612713
Name:CHOO, MARCIA
Entity type:Individual
Prefix:MS
First Name:MARCIA
Middle Name:
Last Name:CHOO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:400 HAUSER BLVD
Mailing Address - Street 2:12A
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90036-5518
Mailing Address - Country:US
Mailing Address - Phone:213-700-5314
Mailing Address - Fax:
Practice Address - Street 1:400 HAUSER BLVD
Practice Address - Street 2:12A
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90036-5518
Practice Address - Country:US
Practice Address - Phone:213-700-5314
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-11-11
Last Update Date:2010-11-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker