Provider Demographics
NPI:1023039450
Name:CHOI, YOORIM EUNICE (DC, LAC)
Entity Type:Individual
Prefix:
First Name:YOORIM
Middle Name:EUNICE
Last Name:CHOI
Suffix:
Gender:F
Credentials:DC, LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18111 BROOKHURST ST STE 6300
Mailing Address - Street 2:
Mailing Address - City:FOUNTAIN VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:92708-6728
Mailing Address - Country:US
Mailing Address - Phone:714-847-6727
Mailing Address - Fax:714-847-6643
Practice Address - Street 1:18111 BROOKHURST ST STE 6300
Practice Address - Street 2:
Practice Address - City:FOUNTAIN VALLEY
Practice Address - State:CA
Practice Address - Zip Code:92708-6728
Practice Address - Country:US
Practice Address - Phone:714-847-6727
Practice Address - Fax:714-847-6643
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-21
Last Update Date:2018-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAC15284171100000X
CADC29923111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
No171100000XOther Service ProvidersAcupuncturist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAAC15284OtherACUPUNCTURE LICENSE
CADC29923OtherCHIROPRACTICE LICENSE