Provider Demographics
NPI:1326693060
Name:CHOI, JEHEE CLARABELLE
Entity Type:Individual
Prefix:MRS
First Name:JEHEE
Middle Name:CLARABELLE
Last Name:CHOI
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1025 PALO VERDE AVE APT 49
Mailing Address - Street 2:
Mailing Address - City:LONG BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:90815-4613
Mailing Address - Country:US
Mailing Address - Phone:213-399-9577
Mailing Address - Fax:
Practice Address - Street 1:1025 PALO VERDE AVE APT 49
Practice Address - Street 2:
Practice Address - City:LONG BEACH
Practice Address - State:CA
Practice Address - Zip Code:90815-4613
Practice Address - Country:US
Practice Address - Phone:213-399-9577
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-08-08
Last Update Date:2019-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747A0650XNursing Service Related ProvidersTechnicianAttendant Care Provider