Healthcare Provider Details

I. General information

NPI: 1831072545
Provider Name (Legal Business Name): HANBYUL CHOI PPS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: HEIDI CHOI PPS

II. Dates (important events)

Enumeration Date: 07/29/2025
Last Update Date: 07/29/2025
Certification Date: 07/29/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1300 BREA CANYON CUT OFF RD
WALNUT CA
91789-3401
US

IV. Provider business mailing address

817 TERRACE LN E UNIT 9
DIAMOND BAR CA
91765-4571
US

V. Phone/Fax

Practice location:
  • Phone: 909-598-3744
  • Fax:
Mailing address:
  • Phone: 818-903-0827
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YS0200X
TaxonomySchool Counselor
License Number240058384
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: