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NPI Code Detail

MEDICARE: MOONSUN CHOI

MEDICARE: MOONSUN CHOI
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
1183500000XPharmacist86794CA

General Provider Information

NPI Number : 1497490320
Entity Type Code : Individual
Provider Name (Legal Business Name) : MOONSUN CHOI
Provider Business Mailing Address
First Line : 866 SUNSET PL
Second Line :
City : DIAMOND BAR
State : CA
Zip : 91765-4558
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3290 CHINO HILLS PKWY
Second Line :
City : CHINO HILLS
State : CA
Zip : 91709-4270
Country : US
Telephone Number : 909-597-3898
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/04/2022
Last Update Date : 03/14/2024

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Directions to “ MOONSUN CHOI ” Practice Location

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