Provider Demographics
NPI:1720420029
Name:CHOE, HELENA HYEONMI (LAC)
Entity Type:Individual
Prefix:
First Name:HELENA
Middle Name:HYEONMI
Last Name:CHOE
Suffix:
Gender:F
Credentials:LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3006 FIR ST
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92102-1124
Mailing Address - Country:US
Mailing Address - Phone:619-808-3198
Mailing Address - Fax:
Practice Address - Street 1:1916 30TH ST
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92102-1106
Practice Address - Country:US
Practice Address - Phone:619-808-3198
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-07-27
Last Update Date:2013-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA11298171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist