OrganizationActive
Primary Gerontology Center LLC
NPI 1215425384 · Geriatric Medicine (Family Medicine) Physician · Annandale, VA
Provider details
- NPI number
- 1215425384
- Entity type
- Organization
- Primary specialty
- Geriatric Medicine (Family Medicine) PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Jiho Choi, Owner/Staff Physician(571) 206-1650
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
4216 Evergreen Ln Ste 125
Annandale, VA 22003-3256
Phone: (571) 206-1650
Fax: (703) 662-6165
Approximate (ZIP-level) locationGet directions
Mailing address
4216 Evergreen Ln Ste 121
Annandale, VA 22003-3256
Registry dates
- Enumerated
- 2018-04-24
- Last updated
- 2026-03-14
- Certified
- 2026-03-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.