Provider Demographics
NPI:1508429663
Name:CHOI, ANDREW YOUNG (PHD)
Entity Type:Individual
Prefix:DR
First Name:ANDREW
Middle Name:YOUNG
Last Name:CHOI
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:DR
Other - First Name:ANDY
Other - Middle Name:
Other - Last Name:CHOI
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:PHD
Mailing Address - Street 1:2600 CAMPUS RD RM 312
Mailing Address - Street 2:
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96822-2224
Mailing Address - Country:US
Mailing Address - Phone:808-956-7927
Mailing Address - Fax:
Practice Address - Street 1:2600 CAMPUS RD RM 312
Practice Address - Street 2:
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96822-2224
Practice Address - Country:US
Practice Address - Phone:808-956-7927
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-04-15
Last Update Date:2022-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HI1916103TH0100X
CA33136103TH0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TH0100XBehavioral Health & Social Service ProvidersPsychologistHealth Service