Provider Demographics
NPI:1164544649
Name:CHOI, EON (ACUPUNCTURIST)
Entity Type:Individual
Prefix:
First Name:EON
Middle Name:
Last Name:CHOI
Suffix:
Gender:F
Credentials:ACUPUNCTURIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1208 E ARQUES AVE STE 109
Mailing Address - Street 2:
Mailing Address - City:SUNNYVALE
Mailing Address - State:CA
Mailing Address - Zip Code:94085-5419
Mailing Address - Country:US
Mailing Address - Phone:408-530-9115
Mailing Address - Fax:408-530-9119
Practice Address - Street 1:1208 E ARQUES AVE STE 109
Practice Address - Street 2:
Practice Address - City:SUNNYVALE
Practice Address - State:CA
Practice Address - Zip Code:94085-5419
Practice Address - Country:US
Practice Address - Phone:408-530-9115
Practice Address - Fax:408-530-9119
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-04
Last Update Date:2013-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAC11474171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist