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1659690451 NPI number — JAE YONG CHOI JAE CHOI, DDS

NPI Number: 1659690451
Health Care Provider/Practitioner: JAE YONG CHOI JAE CHOI, DDS

Information about “1659690451” NPI (JAE YONG CHOI JAE CHOI, DDS) exists in 1659690451 in HTML format HTML  |  1659690451 in plain Text format TXT  |  1659690451 in PDF (Portable Document Format) PDF  |  1659690451 in an XML format XML  formats.

NPI Number : 1659690451 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1659690451",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "CHOI",
    "FirstName": "JAE",
    "MiddleName": "YONG",
    "NamePrefix": "DR.",
    "NameSuffix": null,
    "Credential": "JAE CHOI, DDS",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "27490 GLENWOOD DR",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "MISSION VIEJO",
    "MailingAddressStateName": "CA",
    "MailingAddressPostalCode": "92692-5005",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "310-593-1130",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "26910 NEWPORT RD",
    "SecondLinePracticeLocationAddress": "SUITE B",
    "PracticeLocationAddressCityName": "MENIFEE",
    "PracticeLocationAddressStateName": "CA",
    "PracticeLocationAddressPostalCode": "92584-9080",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "951-672-7878",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "05/19/2010",
    "LastUpdateDate": "09/12/2010",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "1223P0300X",
        "TaxonomyName": "Periodontics",
        "LicenseNumber": "56939",
        "LicenseNumberStateCode": "CA",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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