MEDICARE: DR. JEHEE ISABELLE CHOI MD

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
1	2085R0001X	Radiation Oncology Physician	A131202	CA

General Provider Information

NPI Number	:	1619260056
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JEHEE ISABELLE CHOI MD

Provider Business Mailing Address
First Line	:	9730 SUMMERS RIDGE RD
Second Line	:
City	:	SAN DIEGO
State	:	CA
Zip	:	92121-3101
Country	:	US
Telephone Number	:	858-549-7411
Fax Number	:

Provider Business Practice Location Address
First Line	:	9730 SUMMERS RIDGE RD
Second Line	:
City	:	SAN DIEGO
State	:	CA
Zip	:	92121-3101
Country	:	US
Telephone Number	:	858-549-7411
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/18/2011
Last Update Date	:	10/09/2017

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