Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2251X0800X | Physical Therapist - Orthopedic | 301626 | CA |
NPI | 1023762382 |
---|---|
Provider Name | Young Hwan Choi |
First Address | Los Angeles, CA 90020-1425 |
Second Address | Los Angeles, CA 90020-1425 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 07/02/2022 |
Last Update Date | 07/02/2022 |