Healthcare Provider Details

I. General information

NPI: 1972139376
Provider Name (Legal Business Name): H. CHOI ACUPUNCTURE INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/17/2020
Last Update Date: 03/17/2020
Certification Date: 03/17/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14642 NEWPORT AVE STE 105
TUSTIN CA
92780-6058
US

IV. Provider business mailing address

14642 NEWPORT AVE STE 105
TUSTIN CA
92780-6058
US

V. Phone/Fax

Practice location:
  • Phone: 949-527-6400
  • Fax: 714-486-2309
Mailing address:
  • Phone: 949-527-6400
  • Fax: 714-486-2309

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number
License Number State

VIII. Authorized Official

Name: LINDA MACK
Title or Position: ADMINISTRATOR
Credential:
Phone: 949-527-6400