Basic Information
| Provider Information | |||||||||
| NPI: | 1598093759 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | CHOI | ||||||||
| FirstName: | SEUNG | ||||||||
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| Credential: | FNP-C | ||||||||
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| Mailing Information | |||||||||
| Address1: | 7515 VAN NUYS BLVD | ||||||||
| Address2: | SUITE 500 | ||||||||
| City: | VAN NUYS | ||||||||
| State: | CA | ||||||||
| PostalCode: | 914051949 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8186274034 | ||||||||
| FaxNumber: | 8189474610 | ||||||||
| Practice Location | |||||||||
| Address1: | 1212 PICO ST | ||||||||
| Address2: | |||||||||
| City: | SAN FERNANDO | ||||||||
| State: | CA | ||||||||
| PostalCode: | 913403503 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8186274777 | ||||||||
| FaxNumber: | 8188376028 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 11/30/2009 | ||||||||
| LastUpdateDate: | 09/08/2016 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 363LF0000X | 19251 | CA | Y | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | Family |
No ID Information.