Healthcare Provider Details

I. General information

NPI: 1265359350
Provider Name (Legal Business Name): ZION MEDICAL GROUP, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/30/2026
Last Update Date: 06/30/2026
Certification Date: 07/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9030 RED BRANCH RD STE 130
COLUMBIA MD
21045-2003
US

IV. Provider business mailing address

9030 RED BRANCH RD STE 130
COLUMBIA MD
21045-2003
US

V. Phone/Fax

Practice location:
  • Phone: 443-668-0575
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: CHRISTIANA CHOE
Title or Position: NURSE PRACTITIONER
Credential: NP
Phone: 443-668-0575