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Individual

SUNG M CHOE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
421 E MERCED AVE, WEST COVINA, CA 91790
(626) 918-1881
(626) 918-3618
Mailing address
421 E MERCED AVE, WEST COVINA, CA 91790
(626) 918-1881
(626) 918-3618

Taxonomy

Speciality
Code
Description
License number
State
2088P0231X
Pediatric Urology Physician
Primary
G60484
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00G604840
CA
05
00G604841
CA
01
ZZZ07538Z
BLUE SHIELD ID #
CA
Enumeration date
05/23/2005
Last updated
03/07/2023
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