Healthcare Provider Details

I. General information

NPI: 1841171014
Provider Name (Legal Business Name): YUMI CHOI
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/11/2025
Last Update Date: 01/28/2026
Certification Date: 01/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3095 TELEGRAPH AVE
BERKELEY CA
94705-2035
US

IV. Provider business mailing address

385 S LEMON AVE # E299
WALNUT CA
91789-2727
US

V. Phone/Fax

Practice location:
  • Phone: 510-916-4060
  • Fax:
Mailing address:
  • Phone: 310-433-6057
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number95038102
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number95032112
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: