MEDICARE: DR. JOON CHOI MD

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	207V00000X	Obstetrics & Gynecology Physician	G80351	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	:	1023073152
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JOON CHOI MD

Provider Business Mailing Address
First Line	:	8100 SUNLAND BLVD
Second Line	:
City	:	SUN VALLEY
State	:	CA
Zip	:	91352-3948
Country	:	US
Telephone Number	:	818-242-6811
Fax Number	:	818-242-1401

Provider Business Practice Location Address
First Line	:	8100 SUNLAND BLVD
Second Line	:
City	:	SUN VALLEY
State	:	CA
Zip	:	91352-3948
Country	:	US
Telephone Number	:	818-242-6811
Fax Number	:	818-242-1401

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

Provider Enumeration Date	:	04/20/2006
Last Update Date	:	02/11/2022

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