Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207V00000X | Obstetrician & Gynecologist | G80351 | CA |
NPI | 1023073152 |
---|---|
Provider Name | Dr. Joon Choi |
First Address | Sun Valley, CA 91352-3948 |
Second Address | Sun Valley, CA 91352-3948 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 20/04/2006 |
Last Update Date | 11/02/2022 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00G803510 | (05) | CA |