Healthcare Provider Details

I. General information

NPI: 1669446662
Provider Name (Legal Business Name): AMY CHOI D.C
Entity Type: Individual
Gender: Female
Sole Proprietor: X

Provider Other Name: UNYOUNG CHOI L.AC

II. Dates (important events)

Enumeration Date: 02/15/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1442 IRVINE BLVD STE 125
TUSTIN CA
92780-3801
US

IV. Provider business mailing address

1442 IRVINE BLVD STE 125
TUSTIN CA
92780-3801
US

V. Phone/Fax

Practice location:
  • Phone: 714-505-1901
  • Fax: 714-505-4850
Mailing address:
  • Phone: 714-505-1901
  • Fax: 714-505-4850

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code111NX0100X
TaxonomyOccupational Health Chiropractor
License Number29897
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number10760
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: