Provider Demographics
NPI:1235758368
Name:DANIEL S CHOI MD PROFESSIONAL CORPORATION
Entity Type:Organization
Organization Name:DANIEL S CHOI MD PROFESSIONAL CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:DANIEL
Authorized Official - Middle Name:S
Authorized Official - Last Name:CHOI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:808-378-4439
Mailing Address - Street 1:3716 POIPU RD.
Mailing Address - Street 2:
Mailing Address - City:KOLOA, KAUAI
Mailing Address - State:HI
Mailing Address - Zip Code:96756-9521
Mailing Address - Country:US
Mailing Address - Phone:808-378-4439
Mailing Address - Fax:877-298-3323
Practice Address - Street 1:3176 POIPU RD
Practice Address - Street 2:
Practice Address - City:KOLOA
Practice Address - State:HI
Practice Address - Zip Code:96756-9521
Practice Address - Country:US
Practice Address - Phone:808-378-4439
Practice Address - Fax:877-298-3323
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-04-09
Last Update Date:2020-04-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP3300XAmbulatory Health Care FacilitiesClinic/CenterPain