Healthcare Provider Details

I. General information

NPI: 1598425589
Provider Name (Legal Business Name): AIMEE CHOI NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/18/2021
Last Update Date: 12/18/2021
Certification Date: 12/18/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

436 N BEDFORD DR STE 103
BEVERLY HILLS CA
90210-4323
US

IV. Provider business mailing address

100 S ORLANDO AVE APT 208
LOS ANGELES CA
90048-4299
US

V. Phone/Fax

Practice location:
  • Phone: 310-278-8200
  • Fax:
Mailing address:
  • Phone: 408-693-7050
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number9501872
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: