Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 111NX0100X | Occupational Health | 29897 | CA |
NPI | 1669446662 |
---|---|
Provider Name | Dr. Amy Choi |
First Address | Tustin, CA 92780-3801 |
Second Address | Tustin, CA 92780-3801 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/02/2006 |
Last Update Date | 08/07/2007 |