Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207X00000X | Orthopaedic Surgeon | C50603 | CA |
NPI | 1003184680 |
---|---|
Provider Name | Dr. Stephen Sungduk Choi |
First Address | Fresno, CA 93720-2041 |
Second Address | Rowland Heights, CA 91748-5169 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 09/12/2011 |
Last Update Date | 09/12/2011 |