Healthcare Provider Details

I. General information

NPI: 1639709926
Provider Name (Legal Business Name): HANNAH R CHOI FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/25/2020
Last Update Date: 12/30/2024
Certification Date: 12/29/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5451 LA PALMA AVE STE 49
LA PALMA CA
90623-1732
US

IV. Provider business mailing address

5451 LA PALMA AVE STE 49
LA PALMA CA
90623-1732
US

V. Phone/Fax

Practice location:
  • Phone: 213-268-5049
  • Fax:
Mailing address:
  • Phone: 213-268-5049
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number95018203
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number767677
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: