Provider Demographics
NPI:1659596187
Name:CHOIS, HOSOON (OMD)
Entity Type:Individual
Prefix:DR
First Name:HOSOON
Middle Name:
Last Name:CHOIS
Suffix:
Gender:M
Credentials:OMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1406 228TH AVE SE
Mailing Address - Street 2:
Mailing Address - City:SAMMAMISH
Mailing Address - State:WA
Mailing Address - Zip Code:98075-7158
Mailing Address - Country:US
Mailing Address - Phone:425-369-0447
Mailing Address - Fax:425-369-0448
Practice Address - Street 1:1406 228TH AVE SE
Practice Address - Street 2:
Practice Address - City:SAMMAMISH
Practice Address - State:WA
Practice Address - Zip Code:98075-7158
Practice Address - Country:US
Practice Address - Phone:425-369-0447
Practice Address - Fax:425-369-0448
Is Sole Proprietor?:No
Enumeration Date:2007-04-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAAC00000163171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist