MEDICARE: DR. SUSIE CHOI KWOK D.D.S.

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	122300000X	Dentist	39171	CA

General Provider Information

NPI Number	:	1447267802
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SUSIE CHOI KWOK D.D.S.

Provider Business Mailing Address
First Line	:	3315 4TH AVE
Second Line	:
City	:	SAN DIEGO
State	:	CA
Zip	:	92103-5703
Country	:	US
Telephone Number	:	619-295-7885
Fax Number	:

Provider Business Practice Location Address
First Line	:	3315 4TH AVE
Second Line	:
City	:	SAN DIEGO
State	:	CA
Zip	:	92103-5703
Country	:	US
Telephone Number	:	619-295-7885
Fax Number	:

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

Provider Enumeration Date	:	08/01/2006
Last Update Date	:	08/10/2010

Similar Medicare Providers

1881914000 — GRUPO MEDICO POLICLINICA SAN PEDRO MEDICARE ADVANTAGE
Practice Location Address:

211 CALLE MORSE
ARROYO, PR
00714-2350

Practice Phone: 787-839-3980
Practice Fax: 787-271-2515

1619974623 — MS. KIMBERLEE J KNOX PA-C
Practice Location Address:

3307 4TH AVE
SAN DIEGO, CA
92103-5703

Practice Phone: 619-347-5771
Practice Fax:

1346239068 — MS. SHARION LEONNA STONE-ULRICH CNM
Practice Location Address:

3343 4TH AVE
SAN DIEGO, CA
92103-5703

Practice Phone: 619-299-0840
Practice Fax: 619-299-0892

1629059100 — DR. JAMES C POWERS MD
Practice Location Address:

3367 4TH AVE
SAN DIEGO, CA
92103-5703

Practice Phone: 619-220-7425
Practice Fax: 619-220-7415

1750331252 — DR. ROBERT JOHN VALLONE D.P.M.
Practice Location Address:

3363 4TH AVE
SAN DIEGO, CA
92103-5703

Practice Phone: 619-295-3434
Practice Fax: 619-295-9714

1114957180 — DR. ANDREA MARIE BARNHART O.D.
Practice Location Address:

3311 4TH AVE
SAN DIEGO, CA
92103-5703

Practice Phone: 619-298-1154
Practice Fax: 619-296-8849

Directions to “ DR. SUSIE CHOI KWOK D.D.S.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.