MEDICARE: JUNG S. 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	LAC-010021	AZ

General Provider Information

NPI Number	:	1306475611
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JUNG S. CHOI

Provider Business Mailing Address
First Line	:	403 EAST SHEFFIELD AVENUE
Second Line	:
City	:	GILBERT
State	:	AZ
Zip	:	85296
Country	:	US
Telephone Number	:	480-527-8893
Fax Number	:

Provider Business Practice Location Address
First Line	:	266 W 3RD PL # 2
Second Line	:
City	:	MESA
State	:	AZ
Zip	:	85201-6578
Country	:	US
Telephone Number	:	480-527-8893
Fax Number	:

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

Provider Enumeration Date	:	04/07/2020
Last Update Date	:	04/07/2020

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Directions to “ JUNG S. CHOI ” Practice Location

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