Individual
JAE SOOK CHOI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
1082 GLENDON AVE, LOS ANGELES, CA 90024-2908
(310) 209-2011
Mailing address
1082 GLENDON AVE, LOS ANGELES, CA 90024-2908
(310) 209-2011
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
95013015
CA
363LA2100X
Acute Care Nurse Practitioner
Primary
95013015
CA
Other
Enumeration date
10/16/2019
Last updated
10/16/2019
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