MEDICARE: DR. JENNIFER C CHOI M.D.

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	208100000X	Physical Medicine & Rehabilitation Physician	16566	HI

General Provider Information

NPI Number	:	1821095290
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JENNIFER C CHOI M.D.

Provider Business Mailing Address
First Line	:	75-346 HUALALAI RD APT G201
Second Line	:
City	:	KAILUA KONA
State	:	HI
Zip	:	96740-6924
Country	:	US
Telephone Number	:	917-671-6800
Fax Number	:

Provider Business Practice Location Address
First Line	:	75-346 HUALALAI RD APT G201
Second Line	:
City	:	KAILUA KONA
State	:	HI
Zip	:	96740-6924
Country	:	US
Telephone Number	:	917-671-6800
Fax Number	:

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

Provider Enumeration Date	:	06/30/2005
Last Update Date	:	01/24/2013

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Directions to “ DR. JENNIFER C CHOI M.D.” Practice Location

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