MEDICARE: NATHAN CHOI

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker	LCSW136171	CA

General Provider Information

NPI Number	:	1356035885
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NATHAN CHOI

Provider Business Mailing Address
First Line	:	145 W MAIN ST STE 220
Second Line	:
City	:	TUSTIN
State	:	CA
Zip	:	92780-4360
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3530 ATLANTIC AVE STE 210
Second Line	:
City	:	LONG BEACH
State	:	CA
Zip	:	90807-4569
Country	:	US
Telephone Number	:	562-424-1886
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/07/2023
Last Update Date	:	01/13/2026

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Directions to “ NATHAN CHOI ” Practice Location

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