Provider Demographics
NPI:1922394741
Name:CHOI, HONG (AC 3773)
Entity Type:Individual
Prefix:DR
First Name:HONG
Middle Name:
Last Name:CHOI
Suffix:
Gender:M
Credentials:AC 3773
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13370 SAVANNA
Mailing Address - Street 2:
Mailing Address - City:TUSTIN
Mailing Address - State:CA
Mailing Address - Zip Code:92782-9143
Mailing Address - Country:US
Mailing Address - Phone:562-233-5800
Mailing Address - Fax:
Practice Address - Street 1:13370 SAVANNA
Practice Address - Street 2:
Practice Address - City:TUSTIN
Practice Address - State:CA
Practice Address - Zip Code:92782-9143
Practice Address - Country:US
Practice Address - Phone:562-233-5800
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-06-20
Last Update Date:2011-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAC 3773171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist