Provider Demographics
NPI:1881849321
Name:CHOI, JOON EON
Entity Type:Individual
Prefix:DR
First Name:JOON EON
Middle Name:
Last Name:CHOI
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 1:9140 BROOKSHIRE AVE APT 224
Mailing Address - Street 2:
Mailing Address - City:DOWNEY
Mailing Address - State:CA
Mailing Address - Zip Code:90240-2964
Mailing Address - Country:US
Mailing Address - Phone:213-700-6052
Mailing Address - Fax:
Practice Address - Street 1:9140 BROOKSHIRE AVE APT 224
Practice Address - Street 2:
Practice Address - City:DOWNEY
Practice Address - State:CA
Practice Address - Zip Code:90240-2964
Practice Address - Country:US
Practice Address - Phone:213-700-6052
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-11-25
Last Update Date:2008-11-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA50586122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist