Individual provider Active NPI

Elisabeth Yoon-Jong Choi, LAC

  • Acupuncturist
  • Anaheim, CA
National Provider Identifier
1720406911
Registry record updated Jul 6, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AC15929 Issued in CA
Practice address
6200 E Canyon Rim Rd
Suite 109D
Anaheim, CA 92807-4317
Phone
(714) 584-5190
Fax
(714) 386-5306
NPI assigned
Apr 3, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 6, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X AC15929 CA Primary

Addresses

Primary practice location

6200 E Canyon Rim Rd
Suite 109D
Anaheim, CA 92807-4317

Mailing address

6200 E Canyon Rim Rd
Suite 109D
Anaheim, CA 92807-4317
Phone (714) 584-5190

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
AC15929CAMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Evolve Integrative Health, Inc. Acupuncturist Current Accepting new patients

Locations

6200 E Canyon Rim Rd
Ste 109D
Anaheim, CA 92807
Phone (714) 283-0464

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1396483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1467763200000",
    "number": "1720406911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6200 E CANYON RIM RD",
            "address_2": "SUITE 109D",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928074317",
            "telephone_number": "714-584-5190",
            "fax_number": "714-386-5306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6200 E CANYON RIM RD",
            "address_2": "SUITE 109D",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928074317",
            "telephone_number": "714-584-5190",
            "fax_number": "714-386-5306"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHOI",
        "first_name": "ELISABETH",
        "middle_name": "YOON-JONG",
        "credential": "LAC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-04-03",
        "last_updated": "2016-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "AC15929",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anaheim, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.