Provider Demographics
NPI:1144540105
Name:CHOI, YUNJEONG
Entity type:Individual
Prefix:
First Name:YUNJEONG
Middle Name:
Last Name:CHOI
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2040 PACIFIC COAST HWY
Mailing Address - Street 2:R
Mailing Address - City:LOMITA
Mailing Address - State:CA
Mailing Address - Zip Code:90717-2660
Mailing Address - Country:US
Mailing Address - Phone:310-257-9080
Mailing Address - Fax:310-257-9078
Practice Address - Street 1:2040 PACIFIC COAST HWY
Practice Address - Street 2:R
Practice Address - City:LOMITA
Practice Address - State:CA
Practice Address - Zip Code:90717-2660
Practice Address - Country:US
Practice Address - Phone:310-257-9080
Practice Address - Fax:310-257-9078
Is Sole Proprietor?:No
Enumeration Date:2010-06-01
Last Update Date:2020-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAC11754171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist