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General NPI Number Information
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NPI Number | 1346347259
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Entity Type | Organization
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Legal Business Name | SEYONG CHOI PHYSICAL THERAPY INC
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Dates
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Enumeration Date | 09/20/2006
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Last Update Date | 04/26/2018
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Provider Practice Location Address
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Address Line | 3545 WILSHIRE BLVD SUITE 245
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City | LOS ANGELES
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State | CA
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Zip | 90010-2389
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Country | US
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Telephone | 213-487-5176
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Fax | 213-487-5177
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Provider Business Mailing Address
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Address Line | 3545 WILSHIRE BLVD SUITE 245
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City | LOS ANGELES
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State | CA
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Zip | 90010-2389
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Country | US
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Telephone | 213-487-5176
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Fax | 213-487-5177
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Authorized Official
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Title or Position | PRESIDENT
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Name | SE YONG CHOI
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Credential | PT
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Telephone | 213-487-5176
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | PT9713
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License Number State | CA
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