Provider Demographics
NPI:1598039869
Name:CHOI, EUN JOO (MD)
Entity Type:Individual
Prefix:DR
First Name:EUN JOO
Middle Name:
Last Name:CHOI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:MICHELLE
Other - Middle Name:
Other - Last Name:CHOI
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:14312 RIVERSIDE DR
Mailing Address - Street 2:
Mailing Address - City:SHERMAN OAKS
Mailing Address - State:CA
Mailing Address - Zip Code:91423-1712
Mailing Address - Country:US
Mailing Address - Phone:310-926-9331
Mailing Address - Fax:
Practice Address - Street 1:267-23 HAENDANG-DONG
Practice Address - Street 2:NARAE BLDG., 4FL.,SUNGDONG-GU
Practice Address - City:SEOUL
Practice Address - State:KOREA
Practice Address - Zip Code:133
Practice Address - Country:KR
Practice Address - Phone:8222-298-0144
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-03-02
Last Update Date:2012-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes302F00000XManaged Care OrganizationsExclusive Provider Organization