Provider Demographics
NPI:1780158097
Name:CHOI, JOY MYUNGYEON
Entity type:Individual
Prefix:
First Name:JOY
Middle Name:MYUNGYEON
Last Name:CHOI
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1301 W SOUTHGATE AVE
Mailing Address - Street 2:
Mailing Address - City:FULLERTON
Mailing Address - State:CA
Mailing Address - Zip Code:92833-4019
Mailing Address - Country:US
Mailing Address - Phone:714-392-3348
Mailing Address - Fax:
Practice Address - Street 1:1301 W SOUTHGATE AVE
Practice Address - Street 2:
Practice Address - City:FULLERTON
Practice Address - State:CA
Practice Address - Zip Code:92833-4019
Practice Address - Country:US
Practice Address - Phone:714-392-3348
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-01-20
Last Update Date:2019-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAC18279171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist