Healthcare Provider Details

I. General information

NPI: 1083249403
Provider Name (Legal Business Name): A REUM CHOI
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/05/2020
Last Update Date: 03/05/2020
Certification Date: 03/05/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

57 LONG BEACH BLVD
LONG BEACH CA
90802-4804
US

IV. Provider business mailing address

57 LONG BEACH BLVD
LONG BEACH CA
90802-4804
US

V. Phone/Fax

Practice location:
  • Phone: 213-884-7726
  • Fax:
Mailing address:
  • Phone: 213-884-7726
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License NumberAC18788
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: