Provider Demographics
NPI:1043785611
Name:CHOI, ANGELA HYUNJUNG (PHARMD)
Entity Type:Individual
Prefix:
First Name:ANGELA
Middle Name:HYUNJUNG
Last Name:CHOI
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:305 N 3RD ST APT B
Mailing Address - Street 2:
Mailing Address - City:ALHAMBRA
Mailing Address - State:CA
Mailing Address - Zip Code:91801-2339
Mailing Address - Country:US
Mailing Address - Phone:626-542-5415
Mailing Address - Fax:
Practice Address - Street 1:305 N 3RD ST APT B
Practice Address - Street 2:
Practice Address - City:ALHAMBRA
Practice Address - State:CA
Practice Address - Zip Code:91801-2339
Practice Address - Country:US
Practice Address - Phone:626-542-5415
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-10-09
Last Update Date:2018-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA79069183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist