Provider Demographics
NPI:1881166122
Name:REEPOLRUJEE, CHOTIKA
Entity type:Individual
Prefix:
First Name:CHOTIKA
Middle Name:
Last Name:REEPOLRUJEE
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 1:14252 SCHLEISMAN RD STE 202
Mailing Address - Street 2:
Mailing Address - City:EASTVALE
Mailing Address - State:CA
Mailing Address - Zip Code:92880-4026
Mailing Address - Country:US
Mailing Address - Phone:626-525-9290
Mailing Address - Fax:
Practice Address - Street 1:14252 SCHLEISMAN RD STE 202
Practice Address - Street 2:
Practice Address - City:EASTVALE
Practice Address - State:CA
Practice Address - Zip Code:92880-4026
Practice Address - Country:US
Practice Address - Phone:951-268-0794
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-12-27
Last Update Date:2024-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA20044171100000X, 171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist