Provider Demographics
NPI:1154325702
Name:CHOO, DANIEL CHUNG ANN (MD)
Entity Type:Individual
Prefix:DR
First Name:DANIEL
Middle Name:CHUNG ANN
Last Name:CHOO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17134 COLIMA RD STE E
Mailing Address - Street 2:
Mailing Address - City:HACIENDA HEIGHTS
Mailing Address - State:CA
Mailing Address - Zip Code:91745-6737
Mailing Address - Country:US
Mailing Address - Phone:626-820-0603
Mailing Address - Fax:626-820-0602
Practice Address - Street 1:17134 COLIMA RD
Practice Address - Street 2:STE #E
Practice Address - City:HACIENDA HEIGHTS
Practice Address - State:CA
Practice Address - Zip Code:91745-6737
Practice Address - Country:US
Practice Address - Phone:626-820-0603
Practice Address - Fax:626-820-0602
Is Sole Proprietor?:Yes
Enumeration Date:2005-06-10
Last Update Date:2017-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG71845207R00000X, 207RI0011X, 207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No207RI0011XAllopathic & Osteopathic PhysiciansInternal MedicineInterventional Cardiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
WG71845BMedicare ID - Type UnspecifiedPPIN
G91283Medicare UPIN