Provider Demographics
NPI:1952553570
Name:CHOI, JUN SUN (LAC)
Entity Type:Individual
Prefix:
First Name:JUN SUN
Middle Name:
Last Name:CHOI
Suffix:
Gender:M
Credentials:LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1600 E HOLT AVE # G27
Mailing Address - Street 2:
Mailing Address - City:POMONA
Mailing Address - State:CA
Mailing Address - Zip Code:91767-5826
Mailing Address - Country:US
Mailing Address - Phone:213-248-2439
Mailing Address - Fax:909-306-7776
Practice Address - Street 1:1600 E HOLT AVE # G27
Practice Address - Street 2:
Practice Address - City:POMONA
Practice Address - State:CA
Practice Address - Zip Code:91767-5826
Practice Address - Country:US
Practice Address - Phone:213-248-2439
Practice Address - Fax:909-306-7776
Is Sole Proprietor?:Yes
Enumeration Date:2008-10-14
Last Update Date:2019-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA11380171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist