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NPI Code Detail

MEDICARE: SANDRA CHOE M.D

MEDICARE:   SANDRA  CHOE  M.D
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208000000XPediatrics PhysicianA60232CA

General Provider Information

NPI Number : 1134156425
Entity Type Code : Individual
Provider Name (Legal Business Name) : SANDRA CHOE M.D
Provider Business Mailing Address
First Line : 425 N DATE ST
Second Line :
City : ESCONDIDO
State : CA
Zip : 92025-3413
Country : US
Telephone Number : 760-737-2035
Fax Number : 760-741-2782
Provider Business Practice Location Address
First Line : 460 N ELM ST
Second Line :
City : ESCONDIDO
State : CA
Zip : 92025-3002
Country : US
Telephone Number : 760-737-2000
Fax Number : 760-737-2039
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/26/2006
Last Update Date : 07/08/2007

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