Organization
CHOE PENNELLA PHYSICAL THERAPY
Active
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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