Provider Demographics
NPI:1003184680
Name:CHOI, STEPHEN SUNGDUK (MD)
Entity Type:Individual
Prefix:DR
First Name:STEPHEN
Middle Name:SUNGDUK
Last Name:CHOI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:8221 N FRESNO ST
Mailing Address - Street 2:
Mailing Address - City:FRESNO
Mailing Address - State:CA
Mailing Address - Zip Code:93720-2041
Mailing Address - Country:US
Mailing Address - Phone:800-242-0880
Mailing Address - Fax:559-492-5636
Practice Address - Street 1:18560 STONEGATE LN
Practice Address - Street 2:
Practice Address - City:ROWLAND HEIGHTS
Practice Address - State:CA
Practice Address - Zip Code:91748-5169
Practice Address - Country:US
Practice Address - Phone:800-242-0880
Practice Address - Fax:562-697-3950
Is Sole Proprietor?:Yes
Enumeration Date:2011-12-09
Last Update Date:2011-12-09
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAC50603207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery