Provider Demographics
NPI:1427404524
Name:CHOI, SEUNG CHEOL DANIEL
Entity Type:Individual
Prefix:
First Name:SEUNG CHEOL
Middle Name:DANIEL
Last Name:CHOI
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13719 BEACH ST
Mailing Address - Street 2:
Mailing Address - City:CERRITOS
Mailing Address - State:CA
Mailing Address - Zip Code:90703-1429
Mailing Address - Country:US
Mailing Address - Phone:833-321-1010
Mailing Address - Fax:562-524-1010
Practice Address - Street 1:13719 BEACH ST
Practice Address - Street 2:
Practice Address - City:CERRITOS
Practice Address - State:CA
Practice Address - Zip Code:90703-1429
Practice Address - Country:US
Practice Address - Phone:833-321-1010
Practice Address - Fax:562-524-1010
Is Sole Proprietor?:Yes
Enumeration Date:2016-05-06
Last Update Date:2022-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA17029171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist