Provider Demographics
NPI:1699152058
Name:JOON CHOI, MD. APC
Entity type:Organization
Organization Name:JOON CHOI, MD. APC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JOON
Authorized Official - Middle Name:
Authorized Official - Last Name:CHOI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:818-242-6811
Mailing Address - Street 1:8215 VAN NUYS BLVD
Mailing Address - Street 2:SUITE 104
Mailing Address - City:PANORAMA CITY
Mailing Address - State:CA
Mailing Address - Zip Code:91402-4810
Mailing Address - Country:US
Mailing Address - Phone:818-994-4010
Mailing Address - Fax:818-994-4033
Practice Address - Street 1:8215 VAN NUYS BLVD
Practice Address - Street 2:SUITE 104
Practice Address - City:PANORAMA CITY
Practice Address - State:CA
Practice Address - Zip Code:91402-4810
Practice Address - Country:US
Practice Address - Phone:818-994-4010
Practice Address - Fax:818-994-4033
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:JOON CHOI, MD APC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2015-05-05
Last Update Date:2015-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG80351207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty