Provider Demographics
NPI:1376667386
Name:CHOI, KANG-HYUN (ACUPUNCTURIST)
Entity Type:Individual
Prefix:DR
First Name:KANG-HYUN
Middle Name:
Last Name:CHOI
Suffix:
Gender:M
Credentials:ACUPUNCTURIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6301 BEACH BLVD.
Mailing Address - Street 2:SUITE 111
Mailing Address - City:BUENA PARK
Mailing Address - State:CA
Mailing Address - Zip Code:90621
Mailing Address - Country:US
Mailing Address - Phone:714-521-5662
Mailing Address - Fax:714-521-5663
Practice Address - Street 1:6301 BEACH BLVD
Practice Address - Street 2:SUITE 111
Practice Address - City:BUENA PARK
Practice Address - State:CA
Practice Address - Zip Code:90621-2840
Practice Address - Country:US
Practice Address - Phone:714-521-5662
Practice Address - Fax:714-521-5663
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-16
Last Update Date:2020-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAC7759171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist