Healthcare Provider Details

I. General information

NPI: 1013917046
Provider Name (Legal Business Name): SUNG WHAN CHOI M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/01/2005
Last Update Date: 12/15/2025
Certification Date: 12/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 DANIEL BURNHAM CT STE 260C
SAN FRANCISCO CA
94109-0463
US

IV. Provider business mailing address

1 DANIEL BURNHAM CT STE 260C
SAN FRANCISCO CA
94109-0463
US

V. Phone/Fax

Practice location:
  • Phone: 415-502-5099
  • Fax: 415-502-5097
Mailing address:
  • Phone: 415-502-5099
  • Fax: 415-502-5097

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License NumberA88258
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: