Healthcare Provider Details

I. General information

NPI: 1871648113
Provider Name (Legal Business Name): JEUNG HO CHOI A MEDICAL CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/25/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2701 WEST ALAMEDA AVENUE SUITE 301
BURBANK CA
91505-4408
US

IV. Provider business mailing address

2701 WEST ALAMEDA AVENUE SUITE 301
BURBANK CA
91505-4408
US

V. Phone/Fax

Practice location:
  • Phone: 818-843-0653
  • Fax: 818-843-4492
Mailing address:
  • Phone: 818-843-0653
  • Fax: 818-843-4492

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QM2500X
TaxonomyMedical Specialty Clinic/Center
License NumberA29703
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code261QP3300X
TaxonomyPain Clinic/Center
License NumberA29703
License Number StateCA

VIII. Authorized Official

Name: JEUNG HO CHOI
Title or Position: PRESIDENT JEUNG HO CHOI A MEDICAL
Credential: MD
Phone: 818-843-0653