Provider Demographics
NPI:1760808240
Name:JUN, JAYSON CHOI (MSN, FNP-C, PMHNP-BC)
Entity Type:Individual
Prefix:
First Name:JAYSON
Middle Name:CHOI
Last Name:JUN
Suffix:
Gender:M
Credentials:MSN, FNP-C, PMHNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18700 MAIN ST STE 108
Mailing Address - Street 2:
Mailing Address - City:HUNTINGTON BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:92648-1713
Mailing Address - Country:US
Mailing Address - Phone:949-424-5224
Mailing Address - Fax:714-587-9033
Practice Address - Street 1:18700 MAIN ST STE 108
Practice Address - Street 2:
Practice Address - City:HUNTINGTON BEACH
Practice Address - State:CA
Practice Address - Zip Code:92648-1713
Practice Address - Country:US
Practice Address - Phone:949-424-5224
Practice Address - Fax:714-587-9033
Is Sole Proprietor?:Yes
Enumeration Date:2014-03-08
Last Update Date:2021-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95000340363LP0808X, 363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health