Healthcare Provider Details

I. General information

NPI: 1437556446
Provider Name (Legal Business Name): IAN CHOY PT
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/20/2014
Last Update Date: 09/01/2026
Certification Date: 09/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6719 ALVARADO RD STE 305
SAN DIEGO CA
92120-5266
US

IV. Provider business mailing address

6719 ALVARADO RD STE 305
SAN DIEGO CA
92120-5266
US

V. Phone/Fax

Practice location:
  • Phone: 619-589-2606
  • Fax:
Mailing address:
  • Phone: 619-589-2606
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number310612
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: