Provider Demographics
NPI:1679827711
Name:CHOI, YOON JUNG (LAC)
Entity Type:Individual
Prefix:
First Name:YOON JUNG
Middle Name:
Last Name:CHOI
Suffix:
Gender:F
Credentials:LAC
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:520 N BROOKHURST ST
Mailing Address - Street 2:#117
Mailing Address - City:ANAHEIM
Mailing Address - State:CA
Mailing Address - Zip Code:92801-5227
Mailing Address - Country:US
Mailing Address - Phone:714-817-0085
Mailing Address - Fax:714-817-0085
Practice Address - Street 1:520 N BROOKHURST ST
Practice Address - Street 2:#117
Practice Address - City:ANAHEIM
Practice Address - State:CA
Practice Address - Zip Code:92801-5227
Practice Address - Country:US
Practice Address - Phone:714-817-0085
Practice Address - Fax:714-817-0085
Is Sole Proprietor?:Yes
Enumeration Date:2012-10-26
Last Update Date:2020-03-27
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAAC13909171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist