Provider Demographics
NPI:1689041709
Name:CHOE'S MOBILE X-RAY SERVICE
Entity Type:Organization
Organization Name:CHOE'S MOBILE X-RAY SERVICE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:HUN
Authorized Official - Middle Name:J
Authorized Official - Last Name:CHOE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:949-300-2966
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
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-08-24
Last Update Date:2015-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CARHF44731261QR0208X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0208XAmbulatory Health Care FacilitiesClinic/CenterRadiology, Mobile