Provider Demographics
NPI:1669446662
Name:CHOI, AMY (DC)
Entity Type:Individual
Prefix:DR
First Name:AMY
Middle Name:
Last Name:CHOI
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:UNYOUNG
Other - Middle Name:
Other - Last Name:CHOI
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LAC
Mailing Address - Street 1:1442 IRVINE BLVD
Mailing Address - Street 2:STE 125
Mailing Address - City:TUSTIN
Mailing Address - State:CA
Mailing Address - Zip Code:92780-3801
Mailing Address - Country:US
Mailing Address - Phone:714-505-1901
Mailing Address - Fax:714-505-4850
Practice Address - Street 1:1442 IRVINE BLVD
Practice Address - Street 2:STE 125
Practice Address - City:TUSTIN
Practice Address - State:CA
Practice Address - Zip Code:92780-3801
Practice Address - Country:US
Practice Address - Phone:714-505-1901
Practice Address - Fax:714-505-4850
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-02-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA29897111NX0100X
CA10760171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered111NX0100XChiropractic ProvidersChiropractorOccupational Health
Not Answered171100000XOther Service ProvidersAcupuncturist