Healthcare Provider Details

I. General information

NPI: 1083525430
Provider Name (Legal Business Name): HYUN JUNG CHOI L.AC.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/15/2026
Last Update Date: 09/15/2026
Certification Date: 09/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

43855 SANDBURG SQ
ASHBURN VA
20147-5851
US

IV. Provider business mailing address

43855 SANDBURG SQ
ASHBURN VA
20147-5851
US

V. Phone/Fax

Practice location:
  • Phone: 703-975-8771
  • Fax:
Mailing address:
  • Phone: 703-975-8771
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code171100000X
TaxonomyAcupuncturist
License NumberU03277
License Number StateMD
# 2
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number0121001297
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: