Provider Demographics
NPI:1740636588
Name:RAK WAN CHOI ACUPUNCTURE AND HEALING CENTER
Entity type:Organization
Organization Name:RAK WAN CHOI ACUPUNCTURE AND HEALING CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:C.E.O.
Authorized Official - Prefix:
Authorized Official - First Name:RAK WAN
Authorized Official - Middle Name:
Authorized Official - Last Name:CHOI
Authorized Official - Suffix:
Authorized Official - Credentials:OMD, LAC
Authorized Official - Phone:323-931-7575
Mailing Address - Street 1:4282 WILSHIRE BLVD STE 100
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90010-3506
Mailing Address - Country:US
Mailing Address - Phone:323-931-7575
Mailing Address - Fax:323-931-7576
Practice Address - Street 1:4282 WILSHIRE BLVD STE 100
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90010-3506
Practice Address - Country:US
Practice Address - Phone:323-931-7575
Practice Address - Fax:323-931-7576
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-05-11
Last Update Date:2016-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0400XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation