Provider Demographics
NPI:1003034729
Name:CHOI, YOUNG PIL (LAC)
Entity Type:Individual
Prefix:MR
First Name:YOUNG PIL
Middle Name:
Last Name:CHOI
Suffix:
Gender:M
Credentials:LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1110 N WESTERN AVE STE 207
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90029-1087
Mailing Address - Country:US
Mailing Address - Phone:323-957-0787
Mailing Address - Fax:213-388-6423
Practice Address - Street 1:1110 N WESTERN AVE STE 207
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90029-1087
Practice Address - Country:US
Practice Address - Phone:323-957-0787
Practice Address - Fax:213-388-6423
Is Sole Proprietor?:No
Enumeration Date:2007-04-20
Last Update Date:2010-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAC8046171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAAC0080460OtherACUPUNTURIST