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NPI Code Detail

MEDICARE: DR. TAEDO JAKE CHOI MD

MEDICARE:  DR. TAEDO JAKE 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
12085R0204XVascular & Interventional Radiology PhysicianA191552CA
22085R0202XDiagnostic Radiology PhysicianA191552CA

General Provider Information

NPI Number : 1801328067
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. TAEDO JAKE CHOI MD
Provider Business Mailing Address
First Line : 713 W DUARTE RD # G-781
Second Line :
City : ARCADIA
State : CA
Zip : 91007-7564
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 713 W DUARTE RD # G-781
Second Line :
City : ARCADIA
State : CA
Zip : 91007-7564
Country : US
Telephone Number : 626-861-3131
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/28/2017
Last Update Date : 03/26/2026

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Directions to “ DR. TAEDO JAKE CHOI MD” Practice Location

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