Healthcare Provider Details

I. General information

NPI: 1043140759
Provider Name (Legal Business Name): CAMERON CHOONG-SHIK PRICE PA-C
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/22/2026
Last Update Date: 05/22/2026
Certification Date: 05/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13432 COLLEGE VALLEY LN
RICHMOND VA
23233-7643
US

IV. Provider business mailing address

13432 COLLEGE VALLEY LN
RICHMOND VA
23233-7643
US

V. Phone/Fax

Practice location:
  • Phone: 804-363-5128
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363AM0700X
TaxonomyMedical Physician Assistant
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: