Provider Demographics
NPI:1336805126
Name:CHOIMED LLC
Entity type:Organization
Organization Name:CHOIMED LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:
Authorized Official - Last Name:CHOI
Authorized Official - Suffix:
Authorized Official - Credentials:MD, LAC
Authorized Official - Phone:571-888-4899
Mailing Address - Street 1:6707 OLD DOMINION DR STE 120
Mailing Address - Street 2:
Mailing Address - City:MC LEAN
Mailing Address - State:VA
Mailing Address - Zip Code:22101-4503
Mailing Address - Country:US
Mailing Address - Phone:571-888-4899
Mailing Address - Fax:
Practice Address - Street 1:6707 OLD DOMINION DR STE 120
Practice Address - Street 2:
Practice Address - City:MC LEAN
Practice Address - State:VA
Practice Address - Zip Code:22101-4503
Practice Address - Country:US
Practice Address - Phone:571-888-4899
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-11-16
Last Update Date:2021-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty