Healthcare Provider Details

I. General information

NPI: 1023928413
Provider Name (Legal Business Name): ARIZONA GERONTOLOGY CENTER PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/09/2026
Last Update Date: 09/09/2026
Certification Date: 09/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1940 W CHANDLER BLVD STE 2-625
CHANDLER AZ
85224-6176
US

IV. Provider business mailing address

1940 W CHANDLER BLVD STE 2-625
CHANDLER AZ
85224-6176
US

V. Phone/Fax

Practice location:
  • Phone: 480-356-2303
  • Fax: 480-553-8616
Mailing address:
  • Phone: 480-356-2303
  • Fax: 480-553-8616

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: JIHO CHOI
Title or Position: MD
Credential: MD
Phone: 480-356-2303