Healthcare Provider Details

I. General information

NPI: 1144846437
Provider Name (Legal Business Name): MINHEE CHOI
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/22/2020
Last Update Date: 06/22/2020
Certification Date: 06/22/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3400 W 6TH ST STE 210
LOS ANGELES CA
90020-2576
US

IV. Provider business mailing address

714 S SERRANO AVE APT 204
LOS ANGELES CA
90005-2877
US

V. Phone/Fax

Practice location:
  • Phone: 213-425-1849
  • Fax:
Mailing address:
  • Phone: 213-425-1849
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225XP0200X
TaxonomyPediatric Occupational Therapist
License Number430819
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: