Provider Demographics
NPI:1487477238
Name:CHOE, SOO YUN (DC)
Entity type:Individual
Prefix:DR
First Name:SOO
Middle Name:YUN
Last Name:CHOE
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5295 CAMERON DR APT 509
Mailing Address - Street 2:
Mailing Address - City:BUENA PARK
Mailing Address - State:CA
Mailing Address - Zip Code:90621-1309
Mailing Address - Country:US
Mailing Address - Phone:562-304-0138
Mailing Address - Fax:
Practice Address - Street 1:1720 W BALL RD STE 3C
Practice Address - Street 2:
Practice Address - City:ANAHEIM
Practice Address - State:CA
Practice Address - Zip Code:92804-5587
Practice Address - Country:US
Practice Address - Phone:714-603-7667
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-10-31
Last Update Date:2024-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA35249111N00000X, 111NR0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NR0400XChiropractic ProvidersChiropractorRehabilitation
No111N00000XChiropractic ProvidersChiropractor