Provider Demographics
NPI:1093341414
Name:CHOI, PAUL JOONHYUK (PMHNP-BC, FNP-C)
Entity Type:Individual
Prefix:MR
First Name:PAUL
Middle Name:JOONHYUK
Last Name:CHOI
Suffix:
Gender:M
Credentials:PMHNP-BC, FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8352 COMMONWEALTH AVE
Mailing Address - Street 2:
Mailing Address - City:BUENA PARK
Mailing Address - State:CA
Mailing Address - Zip Code:90621-2526
Mailing Address - Country:US
Mailing Address - Phone:714-503-6550
Mailing Address - Fax:
Practice Address - Street 1:1101 N SEPULVEDA BLVD STE 201
Practice Address - Street 2:
Practice Address - City:MANHATTAN BEACH
Practice Address - State:CA
Practice Address - Zip Code:90266-5963
Practice Address - Country:US
Practice Address - Phone:877-859-2341
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-03-17
Last Update Date:2022-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA2021102193363LP0808X
CAF03200512363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily