Provider Demographics
NPI:1306146253
Name:CHOI, JIN WOOK (LAC)
Entity type:Individual
Prefix:MR
First Name:JIN WOOK
Middle Name:
Last Name:CHOI
Suffix:
Gender:M
Credentials:LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:40250 MURRIETA HOT SPRINGS RD STE 105
Mailing Address - Street 2:
Mailing Address - City:MURRIETA
Mailing Address - State:CA
Mailing Address - Zip Code:92563-4962
Mailing Address - Country:US
Mailing Address - Phone:760-949-1234
Mailing Address - Fax:951-249-9512
Practice Address - Street 1:40250 MURRIETA HOT SPRINGS RD STE 105
Practice Address - Street 2:
Practice Address - City:MURRIETA
Practice Address - State:CA
Practice Address - Zip Code:92563-4962
Practice Address - Country:US
Practice Address - Phone:760-949-1234
Practice Address - Fax:951-249-9512
Is Sole Proprietor?:Yes
Enumeration Date:2010-10-26
Last Update Date:2021-11-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAC13667171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist