Provider Demographics
NPI:1952486649
Name:CHOY, MELINDA (LAC)
Entity Type:Individual
Prefix:MS
First Name:MELINDA
Middle Name:
Last Name:CHOY
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:PO BOX 8721
Mailing Address - Street 2:
Mailing Address - City:SOUTH LAKE TAHOE
Mailing Address - State:CA
Mailing Address - Zip Code:96158-1721
Mailing Address - Country:US
Mailing Address - Phone:530-541-9355
Mailing Address - Fax:530-541-9355
Practice Address - Street 1:1113 EMERALD BAY RD
Practice Address - Street 2:
Practice Address - City:SOUTH LAKE TAHOE
Practice Address - State:CA
Practice Address - Zip Code:96150-6279
Practice Address - Country:US
Practice Address - Phone:530-541-9355
Practice Address - Fax:530-541-9355
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA9696171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist