Individual ProviderKyeongrok ChoiAcupuncturistOther Service ProvidersPractice Address12304 Santa Monica Blvd Ste 223, Los Angeles, CA 90025-2587(213) 505-2080PECOS EnrollmentBased on the most recent information from CMS, provider Kyeongrok Choi does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1235919242Provider TypeIndividualFull NameChoi, KyeongrokGenderMaleSole ProprietorYesEnumeration Date10/5/2023Last Updated6/4/2024Contact InformationPractice LocationPractice Address12304 Santa Monica Blvd Ste 223, Los Angeles, CA 90025-2587Phone(213) 505-2080Fax(310) 207-1588Mailing LocationMailing Address1121 S Ardmore Ave, Los Angeles, CA 90006-3280Phone(213) 505-2080FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode171100000XPrimaryDescriptionAcupuncturistOther Service ProvidersLicense19626California