MEDICARE: DR. MARTIN CHOI, INC

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	111N00000X	Chiropractor	DC30035	CA

General Provider Information

NPI Number	:	1205292711
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DR. MARTIN CHOI, INC

Provider Business Mailing Address
First Line	:	11230 SORRENTO VALLEY RD STE 200
Second Line	:
City	:	SAN DIEGO
State	:	CA
Zip	:	92121-1300
Country	:	US
Telephone Number	:	858-755-0889
Fax Number	:	858-755-6618

Provider Business Practice Location Address
First Line	:	11230 SORRENTO VALLEY RD STE 200
Second Line	:
City	:	SAN DIEGO
State	:	CA
Zip	:	92121-1300
Country	:	US
Telephone Number	:	858-755-0889
Fax Number	:	858-755-6618

Authorized Official
Title or Position	:	OWNER/CHIROPRACTOR
Name	:	MARTIN CHOI
Credential	:	D.C.
Telephone Number	:	858-755-0889

Provider Enumeration Date	:	01/13/2016
Last Update Date	:	10/24/2025

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