Healthcare Provider Details

I. General information

NPI: 1225825102
Provider Name (Legal Business Name): SEUNG WAN CHOI LMFT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/23/2025
Last Update Date: 07/18/2026
Certification Date: 07/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5199 E PACIFIC COAST HWY STE 402
LONG BEACH CA
90804-3378
US

IV. Provider business mailing address

5318 E 2ND ST # 1028
LONG BEACH CA
90803-5324
US

V. Phone/Fax

Practice location:
  • Phone: 818-396-7748
  • Fax:
Mailing address:
  • Phone: 818-396-7748
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number163468
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: