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NPI Code Detail

MEDICARE: EDMUND HISUB CHOI M.D.

MEDICARE: EDMUND HISUB CHOI 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
1207XS0117XOrthopaedic Surgery of the Spine PhysicianU5281TX

General Provider Information

NPI Number : 1578707931
Entity Type Code : Individual
Provider Name (Legal Business Name) : EDMUND HISUB CHOI M.D.
Provider Business Mailing Address
First Line : 375 ROLLING OAKS DR STE 210
Second Line :
City : THOUSAND OAKS
State : CA
Zip : 91361-1028
Country : US
Telephone Number : 805-497-7015
Fax Number : 805-497-7315
Provider Business Practice Location Address
First Line : 20639 KUYKENDAHL RD STE 200
Second Line :
City : SPRING
State : TX
Zip : 77379-3587
Country : US
Telephone Number : 832-698-0111
Fax Number : 832-698-0153
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/28/2009
Last Update Date : 08/15/2023

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