Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103G00000X | Clinical Psychologist | PSY 22052 | CA |
Y | 103TC0700X | Clinical Psychologist | PSY 22052 | CA |
NPI | 1003141664 |
---|---|
Provider Name | Dr. Steven Jin Choi |
First Address | Napa, CA 94558-6293 |
Second Address | Napa, CA 94558-6293 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/10/2009 |
Last Update Date | 21/03/2014 |