Active NPI
So Young Choi, OTR/L
- Occupational Therapist
- Fullerton, CA
National Provider Identifier
1063886794
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 15786
- Practice address
- 1821 E Chapman Ave
Fullerton, CA 92831 - Phone
- (714) 879-7301
- NPI assigned
- Nov 18, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 15786 | CA | Primary |
Addresses
Primary practice location
1821 E Chapman Ave
Fullerton, CA 92831
Mailing address
19115 Stefani Ave.
Cerritos, CA 90703
Phone (562) 714-7002
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 15786 | CA | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1447804800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1447804800000",
"number": "1063886794",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19115 STEFANI AVE.",
"city": "CERRITOS",
"state": "CA",
"postal_code": "90703",
"telephone_number": "562-714-7002"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1821 E CHAPMAN AVE",
"city": "FULLERTON",
"state": "CA",
"postal_code": "92831",
"telephone_number": "714-879-7301"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHOI",
"first_name": "SO YOUNG",
"credential": "OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-11-18",
"last_updated": "2015-11-18",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "CA",
"license": "15786",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fullerton, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.