Provider Demographics
NPI:1093074304
Name:CHOI, JANET YOUN (PA-C)
Entity Type:Individual
Prefix:MS
First Name:JANET
Middle Name:YOUN
Last Name:CHOI
Suffix:
Gender:F
Credentials:PA-C
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Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:11180 WARNER AVE
Mailing Address - Street 2:SUITE 165
Mailing Address - City:FOUNTAIN VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:92708-7501
Mailing Address - Country:US
Mailing Address - Phone:714-429-5922
Mailing Address - Fax:714-429-5924
Practice Address - Street 1:11180 WARNER AVE
Practice Address - Street 2:SUITE 165
Practice Address - City:FOUNTAIN VALLEY
Practice Address - State:CA
Practice Address - Zip Code:92708-7501
Practice Address - Country:US
Practice Address - Phone:714-429-5922
Practice Address - Fax:714-429-5924
Is Sole Proprietor?:No
Enumeration Date:2012-05-07
Last Update Date:2014-08-26
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAPA22074363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant