MEDICARE: DR. ANTHONY CHOI D.C.

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	DC27029	CA

General Provider Information

NPI Number	:	1417952672
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ANTHONY CHOI D.C.

Provider Business Mailing Address
First Line	:	10655 MILLS AVE
Second Line	:
City	:	MONTCLAIR
State	:	CA
Zip	:	91763-4612
Country	:	US
Telephone Number	:	909-626-7100
Fax Number	:	909-626-0123

Provider Business Practice Location Address
First Line	:	10655 MILLS AVE
Second Line	:
City	:	MONTCLAIR
State	:	CA
Zip	:	91763-4612
Country	:	US
Telephone Number	:	909-626-7100
Fax Number	:	909-626-0123

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

Provider Enumeration Date	:	06/15/2005
Last Update Date	:	07/05/2016

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