Basic Information
Provider Information
NPI: 1114003803
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: CHOI
FirstName: MYEONG
MiddleName: HI
NamePrefix: DR.
NameSuffix:  
Credential: M.D.,PSYCHIATRY
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 1224 VINE ST
Address2:  
City: LOS ANGELES
State: CA
PostalCode: 900381612
CountryCode: US
TelephoneNumber: 3237696100
FaxNumber: 3234670297
Practice Location
Address1: 1224 VINE ST
Address2:  
City: LOS ANGELES
State: CA
PostalCode: 900381612
CountryCode: US
TelephoneNumber: 3237696100
FaxNumber: 3234670297
Other Information
ProviderEnumerationDate: 10/27/2006
LastUpdateDate: 07/08/2007
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: Y
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
2084P0800XA38968CAY Allopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry

No ID Information.


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