Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208200000X | Surgeon | A102076 | CA |
Y | 208600000X | Surgeon | A102076 | CA |
N | 2082S0105X | Plastic Hand Surgeon | A102076 | CA |
NPI | 1316069594 |
---|---|
Provider Name | Joon Young Choi |
First Address | Orange, CA 92868-3857 |
Second Address | Anaheim, CA 92804-1879 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 06/04/2007 |
Last Update Date | 07/11/2019 |