Provider Demographics
NPI:1700241387
Name:CHOI, JINAH KIM (FNP-BC)
Entity Type:Individual
Prefix:
First Name:JINAH
Middle Name:KIM
Last Name:CHOI
Suffix:
Gender:F
Credentials:FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4733 TORRANCE BLVD # 208
Mailing Address - Street 2:
Mailing Address - City:TORRANCE
Mailing Address - State:CA
Mailing Address - Zip Code:90503-4100
Mailing Address - Country:US
Mailing Address - Phone:213-215-5325
Mailing Address - Fax:
Practice Address - Street 1:4733 TORRANCE BLVD # 208
Practice Address - Street 2:
Practice Address - City:TORRANCE
Practice Address - State:CA
Practice Address - Zip Code:90503-4100
Practice Address - Country:US
Practice Address - Phone:213-215-5325
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-12-23
Last Update Date:2023-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA830045163WE0003X
CA95016842363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163WE0003XNursing Service ProvidersRegistered NurseEmergency