Provider Demographics
NPI:1467520841
Name:CHOI, YONG S (ACUPUNCTURIST)
Entity Type:Individual
Prefix:MR
First Name:YONG
Middle Name:S
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 1:18578 CALLE VISTA CIR
Mailing Address - Street 2:
Mailing Address - City:NORTHRIDGE
Mailing Address - State:CA
Mailing Address - Zip Code:91326-1953
Mailing Address - Country:US
Mailing Address - Phone:818-307-4248
Mailing Address - Fax:818-206-3369
Practice Address - Street 1:17019 CHATSWORTH ST
Practice Address - Street 2:
Practice Address - City:GRANADA HILLS
Practice Address - State:CA
Practice Address - Zip Code:91344-5845
Practice Address - Country:US
Practice Address - Phone:818-363-8450
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAC6634171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAAC0066340OtherEDS PROVIDER ID NUMBER