Provider Demographics
NPI:1891349882
Name:CHOI, CHRISTINA SO YOUNG (PA-C)
Entity Type:Individual
Prefix:
First Name:CHRISTINA
Middle Name:SO YOUNG
Last Name:CHOI
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:SO YOUNG
Other - Middle Name:
Other - Last Name:CHOI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 2246
Mailing Address - Street 2:
Mailing Address - City:SEAL BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:90740-1246
Mailing Address - Country:US
Mailing Address - Phone:562-490-9900
Mailing Address - Fax:562-317-1387
Practice Address - Street 1:701 E 28TH ST
Practice Address - Street 2:
Practice Address - City:LONG BEACH
Practice Address - State:CA
Practice Address - Zip Code:90806-2759
Practice Address - Country:US
Practice Address - Phone:562-490-9900
Practice Address - Fax:844-560-2168
Is Sole Proprietor?:No
Enumeration Date:2019-07-28
Last Update Date:2023-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant