MEDICARE: JIN MI CHOI

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	171100000X	Acupuncturist	20092	CA

General Provider Information

NPI Number	:	1063241313
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JIN MI CHOI

Provider Business Mailing Address
First Line	:	3959 LAUREL CANYON BLVD STE A
Second Line	:
City	:	STUDIO CITY
State	:	CA
Zip	:	91604-3711
Country	:	US
Telephone Number	:	818-261-5006
Fax Number	:

Provider Business Practice Location Address
First Line	:	3959 LAUREL CANYON BLVD STE A
Second Line	:
City	:	STUDIO CITY
State	:	CA
Zip	:	91604-3711
Country	:	US
Telephone Number	:	818-261-5006
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/26/2024
Last Update Date	:	07/26/2024

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Directions to “ JIN MI CHOI ” Practice Location

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