Healthcare Provider Details

I. General information

NPI: 1255591020
Provider Name (Legal Business Name): ANTHONY JOON CHOI M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/14/2008
Last Update Date: 07/31/2026
Certification Date: 07/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

300 S PIERCE ST # 102
EL CAJON CA
92020-4124
US

IV. Provider business mailing address

3131 BERGER AVE STE 200
SAN DIEGO CA
92123-4203
US

V. Phone/Fax

Practice location:
  • Phone: 619-668-4700
  • Fax: 619-668-0049
Mailing address:
  • Phone: 858-244-6800
  • Fax: 858-244-6909

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RC0001X
TaxonomyClinical Cardiac Electrophysiology Physician
License Number110961
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number0101250262
License Number StateVA
# 4
Primary TaxonomyN
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License Number258686
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: