Provider Demographics
NPI:1679163158
Name:CHOI, HYUNG YOON
Entity type:Individual
Prefix:
First Name:HYUNG
Middle Name:YOON
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 1:3055 W ORANGE AVE STE 108
Mailing Address - Street 2:
Mailing Address - City:ANAHEIM
Mailing Address - State:CA
Mailing Address - Zip Code:92804-3191
Mailing Address - Country:US
Mailing Address - Phone:714-995-4161
Mailing Address - Fax:714-995-4150
Practice Address - Street 1:3055 W ORANGE AVE STE 108
Practice Address - Street 2:
Practice Address - City:ANAHEIM
Practice Address - State:CA
Practice Address - Zip Code:92804-3191
Practice Address - Country:US
Practice Address - Phone:714-995-4161
Practice Address - Fax:714-995-4150
Is Sole Proprietor?:No
Enumeration Date:2021-01-19
Last Update Date:2021-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA69047183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist