Healthcare Provider Details

I. General information

NPI: 1881666527
Provider Name (Legal Business Name): RUTH CHOI PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: RUTH KUO PHARMD

II. Dates (important events)

Enumeration Date: 02/06/2006
Last Update Date: 10/28/2025
Certification Date: 10/28/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4060 4TH AVE STE 507
SAN DIEGO CA
92103-2121
US

IV. Provider business mailing address

4060 4TH AVE STE 507
SAN DIEGO CA
92103-2121
US

V. Phone/Fax

Practice location:
  • Phone: 619-686-3536
  • Fax: 858-964-3152
Mailing address:
  • Phone: 619-686-3536
  • Fax: 858-964-3152

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberAPH10653
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberRPH62390
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: