Provider Demographics
NPI:1497083687
Name:CHOY, EDSON BRIAN YAP
Entity Type:Individual
Prefix:MR
First Name:EDSON BRIAN
Middle Name:YAP
Last Name:CHOY
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11700 SOUTH ST
Mailing Address - Street 2:STE 200
Mailing Address - City:ARTESIA
Mailing Address - State:CA
Mailing Address - Zip Code:90701-6619
Mailing Address - Country:US
Mailing Address - Phone:562-468-0088
Mailing Address - Fax:562-683-3047
Practice Address - Street 1:11700 SOUTH ST STE 200
Practice Address - Street 2:
Practice Address - City:ARTESIA
Practice Address - State:CA
Practice Address - Zip Code:90701-6619
Practice Address - Country:US
Practice Address - Phone:562-468-0088
Practice Address - Fax:562-683-3047
Is Sole Proprietor?:Yes
Enumeration Date:2009-11-25
Last Update Date:2020-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR6132225100000X
CA225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty