Provider Demographics
NPI:1518334630
Name:CHOE, HUN
Entity Type:Individual
Prefix:
First Name:HUN
Middle Name:
Last Name:CHOE
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 1:41 MUIRFIELD
Mailing Address - Street 2:
Mailing Address - City:TRABUCO CANYON
Mailing Address - State:CA
Mailing Address - Zip Code:92679-3421
Mailing Address - Country:US
Mailing Address - Phone:949-480-7535
Mailing Address - Fax:949-713-2723
Practice Address - Street 1:41 MUIRFIELD
Practice Address - Street 2:
Practice Address - City:TRABUCO CANYON
Practice Address - State:CA
Practice Address - Zip Code:92679-3421
Practice Address - Country:US
Practice Address - Phone:949-480-7535
Practice Address - Fax:949-713-2723
Is Sole Proprietor?:Yes
Enumeration Date:2015-08-24
Last Update Date:2015-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CARHF44731247100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes247100000XTechnologists, Technicians & Other Technical Service ProvidersRadiologic Technologist