Provider Demographics
NPI:1043414592
Name:CHOONG, KHIM (L AC)
Entity Type:Individual
Prefix:MS
First Name:KHIM
Middle Name:
Last Name:CHOONG
Suffix:
Gender:F
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 1:15899 LOS GATOS ALMADEN RD
Mailing Address - Street 2:#10
Mailing Address - City:LOS GATOS
Mailing Address - State:CA
Mailing Address - Zip Code:95032-3739
Mailing Address - Country:US
Mailing Address - Phone:408-356-6601
Mailing Address - Fax:408-356-6601
Practice Address - Street 1:15899 LOS GATOS ALMADEN RD
Practice Address - Street 2:#10
Practice Address - City:LOS GATOS
Practice Address - State:CA
Practice Address - Zip Code:95032-3739
Practice Address - Country:US
Practice Address - Phone:408-356-6601
Practice Address - Fax:408-356-6601
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA4361171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist