Individual
DR. JAE HO CHOI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6567 E CARONDELET DR STE 441, TUCSON, AZ 85710-2156
(520) 751-0360
(520) 751-2521
Mailing address
12900 PARK PLAZA DR, STE 150, CERRITOS, CA 90703-9329
(562) 741-4470
(562) 741-4479
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
14812
NV
207R00000X
Internal Medicine Physician
Primary
29854
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
625048
—
AZ
01
—
AZ0759630
BCBS OF AZ
AZ
01
—
P00101946
RAILROAD MEDICARE
AZ
Enumeration date
09/23/2005
Last updated
01/25/2016
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