Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jae Sook Choi, NURSEPRACTITIONER

Individual provider Nurse Practitioner · NPI 1194367607

Jae Sook Choi, NURSEPRACTITIONER is a Nurse Practitioner in Los Angeles, California. Qualified in 2019, 7 years ago. Practices with University Vascular Associates Inc, a 5-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
7
Licensed in
CA
In the registry since
2019
Specialties on file
2
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Practice location Address checks out

1082 Glendon Ave
Los Angeles, CA 90024-2908
Phone: (310) 209-2011
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Acute Care Nurse Practitioner (primary) Taxonomy 363LA2100X · Licence 95013015 (CA)
Nurse Practitioner Taxonomy 363L00000X · Licence 95013015 (CA)

Record details

NPI number1194367607
Entity typeIndividual (Type 1)
GenderFemale
Credentials NURSEPRACTITIONER
Sole proprietorNo
NPI enumeratedOctober 16, 2019
Last updated in NPPESOctober 16, 2019

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice University Vascular Associates Inc — 5 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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