Provider Demographics
NPI:1326177874
Name:JOHN H CHOIE MD PC
Entity Type:Organization
Organization Name:JOHN H CHOIE MD PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:H
Authorized Official - Last Name:CHOIE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:909-591-0311
Mailing Address - Street 1:5385 WALNUT AVE STE 6
Mailing Address - Street 2:
Mailing Address - City:CHINO
Mailing Address - State:CA
Mailing Address - Zip Code:91710-2605
Mailing Address - Country:US
Mailing Address - Phone:909-591-0311
Mailing Address - Fax:909-591-7032
Practice Address - Street 1:5385 WALNUT AVE STE 6
Practice Address - Street 2:
Practice Address - City:CHINO
Practice Address - State:CA
Practice Address - Zip Code:91710-2605
Practice Address - Country:US
Practice Address - Phone:909-591-0311
Practice Address - Fax:909-591-7032
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-02
Last Update Date:2023-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA36504174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00A365040Medicaid
CA00A365040Medicare ID - Type Unspecified
CA00A365040Medicaid