Provider Demographics
NPI:1770523474
Name:YOON, KATHERINE CHOI (MD)
Entity type:Individual
Prefix:DR
First Name:KATHERINE
Middle Name:CHOI
Last Name:YOON
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:GOUNJA
Other - Middle Name:
Other - Last Name:CHOI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:PO BOX 52
Mailing Address - Street 2:
Mailing Address - City:PEBBLE BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:93953-0052
Mailing Address - Country:US
Mailing Address - Phone:831-646-9499
Mailing Address - Fax:
Practice Address - Street 1:3801 MIRANDA AVENUE
Practice Address - Street 2:
Practice Address - City:PALO ALTO
Practice Address - State:CA
Practice Address - Zip Code:94304
Practice Address - Country:US
Practice Address - Phone:408-363-3067
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-06-08
Last Update Date:2012-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAC385012084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry