Provider Demographics
NPI:1033350806
Name:CHOI, HYUNG SUK (L AC)
Entity Type:Individual
Prefix:
First Name:HYUNG
Middle Name:SUK
Last Name:CHOI
Suffix:
Gender:M
Credentials:L AC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2727 W OLYMPIC BLVD
Mailing Address - Street 2:SUITE 208
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90006-2637
Mailing Address - Country:US
Mailing Address - Phone:213-427-7600
Mailing Address - Fax:213-384-1101
Practice Address - Street 1:2727 W OLYMPIC BLVD
Practice Address - Street 2:SUITE 208
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90006-2637
Practice Address - Country:US
Practice Address - Phone:213-427-7600
Practice Address - Fax:213-384-1101
Is Sole Proprietor?:No
Enumeration Date:2009-03-09
Last Update Date:2012-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAC12392171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist
Provider Identifiers
StateIdentifier IDID TypeIssuer
AC12392OtherCALIFORNIA ACUPUNCTURE BOARD