Provider Demographics
NPI:1720475544
Name:CHOY-UNRUH, TIFFANY W (DC)
Entity Type:Individual
Prefix:
First Name:TIFFANY
Middle Name:W
Last Name:CHOY-UNRUH
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:99 S CHESTER AVE
Mailing Address - Street 2:SUITE 101
Mailing Address - City:PASADENA
Mailing Address - State:CA
Mailing Address - Zip Code:91106-5804
Mailing Address - Country:US
Mailing Address - Phone:818-928-5227
Mailing Address - Fax:
Practice Address - Street 1:99 S CHESTER AVE
Practice Address - Street 2:SUITE 101
Practice Address - City:PASADENA
Practice Address - State:CA
Practice Address - Zip Code:91106-5804
Practice Address - Country:US
Practice Address - Phone:818-928-5227
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-04-20
Last Update Date:2017-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA32337111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor