Provider Demographics
NPI:1215251608
Name:JOON Y CHOI MD INC
Entity type:Organization
Organization Name:JOON Y CHOI MD INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JOON
Authorized Official - Middle Name:Y
Authorized Official - Last Name:CHOI
Authorized Official - Suffix:
Authorized Official - Credentials:M D
Authorized Official - Phone:714-527-2641
Mailing Address - Street 1:5 HOLLAND
Mailing Address - Street 2:SUITE 101
Mailing Address - City:IRVINE
Mailing Address - State:CA
Mailing Address - Zip Code:92618-2566
Mailing Address - Country:US
Mailing Address - Phone:714-527-2641
Mailing Address - Fax:714-276-0679
Practice Address - Street 1:408 S BEACH BLVD
Practice Address - Street 2:SUITE 205
Practice Address - City:ANAHEIM
Practice Address - State:CA
Practice Address - Zip Code:92804-1853
Practice Address - Country:US
Practice Address - Phone:714-527-2641
Practice Address - Fax:714-276-0679
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-03-15
Last Update Date:2010-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208200000XAllopathic & Osteopathic PhysiciansPlastic SurgeryGroup - Single Specialty