Healthcare Provider Details

I. General information

NPI: 1194303545
Provider Name (Legal Business Name): DONG SOON CHOI DO, PHD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/29/2021
Last Update Date: 05/07/2026
Certification Date: 05/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1321 COLBY AVE STE B400
EVERETT WA
98201-1665
US

IV. Provider business mailing address

1321 COLBY AVE STE B400
EVERETT WA
98201-1665
US

V. Phone/Fax

Practice location:
  • Phone: 425-297-5234
  • Fax:
Mailing address:
  • Phone: 425-297-5234
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number8281205
License Number StateID
# 2
Primary TaxonomyN
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License Number20A22567
License Number StateCA
# 3
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberU7845
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: