Jae Sook Choi, Nurse Practitioner
Nurse Practitioner, Acute Care in Los Angeles, CA. Individual provider (NPI-1).
NPI number1194367607
StatusActive
Last updated in NPPESOct 16, 2019
Details
- NPI
- 1194367607
- Entity type
- Individual (NPI-1)
- Name
- Jae Sook Choi
- Credential
- Nurse Practitioner
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 16, 2019
- Last updated
- Oct 16, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LA2100X | Nurse Practitioner, Acute Care | 95013015 | CA | Yes |
| 363L00000X | Nurse Practitioner | 95013015 | CA |
Practice location
1082 Glendon AveLos Angeles, CA 90024-2908
Phone 310-209-2011
Mailing address
1082 Glendon AveLos Angeles, CA 90024-2908
Phone 310-209-2011
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