Healthcare Provider Details

I. General information

NPI: 1063475465
Provider Name (Legal Business Name): DAVID CHOI DO
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/08/2006
Last Update Date: 07/10/2026
Certification Date: 07/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

51 MEDICAL GROUP UNIT 2060
APO AP
96278
US

IV. Provider business mailing address

UNIT 2060
APO AP
96278-2060
US

V. Phone/Fax

Practice location:
  • Phone: 443-364-9144
  • Fax:
Mailing address:
  • Phone: 443-828-2969
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number233406
License Number StateNY
# 2
Primary TaxonomyN
Taxonomy Code171000000X
TaxonomyMilitary Health Care Provider
License Number20A9952
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: