Healthcare Provider Details

I. General information

NPI: 1174150973
Provider Name (Legal Business Name): JA-YOON UNI CHOE MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/24/2020
Last Update Date: 04/27/2026
Certification Date: 04/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2675 W OLYMPIC BLVD STE 301
LOS ANGELES CA
90006-2880
US

IV. Provider business mailing address

2675 W OLYMPIC BLVD STE 301
LOS ANGELES CA
90006-2880
US

V. Phone/Fax

Practice location:
  • Phone: 213-735-4048
  • Fax: 213-973-1276
Mailing address:
  • Phone: 213-735-4048
  • Fax: 213-973-1276

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberA186242
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: