Individual provider · Type 1 NPI

Da Som Choi

Family Nurse Practitioner · Modesto, CA

NPI number 1407484058 Active

Practice location

1224 Scenic Dr
Modesto, CA 95350-6137

Fax (833) 573-2336

Mailing address

3249 Shrute Dr
Lathrop, CA 95330-8131

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X95016104 (CA)
Ambulatory Care Registered Nurse 163WP2201X1-154049 (AL)
Registered Nurse 163W00000X95231909 (CA)
Family Nurse Practitioner 363LF0000X1-154049 (AL)

Family Nurse Practitioner: Definition to come...

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About NPI 1407484058

Da Som Choi's National Provider Identifier is 1407484058, issued on Mar 30, 2020. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Modesto, CA. The record was last updated on Aug 20, 2026.