Organization
CHOE PENNELLA PHYSICAL THERAPY
Active
Other names
The LAB
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL CHOE DPT (OWNER)
(847) 691-0032
Entity
Organization
Contact information
Practice address
700 WILSHIRE BLVD, SUITE 505, LOS ANGELES, CA 90017-3811
(847) 691-0032
Mailing address
700 WILSHIRE BLVD, SUITE 505, LOS ANGELES, CA 90017-3811
(847) 691-0032
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
40535
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
40535
LICENSE
CA
Enumeration date
09/08/2015
Last updated
05/03/2016
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