MEDICARE: DR. SUNG WHAN CHOI M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RC0000X	Cardiovascular Disease Physician	A88258	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1013917046
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SUNG WHAN CHOI M.D.

Provider Business Mailing Address
First Line	:	1 DANIEL BURNHAM CT STE 260C
Second Line	:
City	:	SAN FRANCISCO
State	:	CA
Zip	:	94109-0463
Country	:	US
Telephone Number	:	415-502-5099
Fax Number	:	415-502-5097

Provider Business Practice Location Address
First Line	:	1 DANIEL BURNHAM CT STE 260C
Second Line	:
City	:	SAN FRANCISCO
State	:	CA
Zip	:	94109-0463
Country	:	US
Telephone Number	:	415-502-5099
Fax Number	:	415-502-5097

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/01/2005
Last Update Date	:	12/15/2025

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