Provider Demographics
NPI:1700256146
Name:CHOI, SAIROMI
Entity type:Individual
Prefix:
First Name:SAIROMI
Middle Name:
Last Name:CHOI
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:269 S LA FAYETTE PARK PL APT 444
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90057-1378
Mailing Address - Country:US
Mailing Address - Phone:213-675-4409
Mailing Address - Fax:213-383-3006
Practice Address - Street 1:269 S LA FAYETTE PARK PL APT 444
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90057-1378
Practice Address - Country:US
Practice Address - Phone:213-675-4409
Practice Address - Fax:213-383-3006
Is Sole Proprietor?:Yes
Enumeration Date:2015-09-28
Last Update Date:2015-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA16279171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist