MEDICARE: DR. MARTIN W 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	DC-30035	CA

General Provider Information

NPI Number	:	1619096724
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MARTIN W CHOI D.C.

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	:	858-829-2118
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	:	858-829-2118
Fax Number	:	858-755-6618

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

Provider Enumeration Date	:	03/28/2007
Last Update Date	:	07/28/2025

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