Provider Demographics
NPI:1831072545
Name:CHOI, HANBYUL (PPS)
Entity type:Individual
Prefix:
First Name:HANBYUL
Middle Name:
Last Name:CHOI
Suffix:
Gender:F
Credentials:PPS
Other - Prefix:
Other - First Name:HEIDI
Other - Middle Name:
Other - Last Name:CHOI
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:PPS
Mailing Address - Street 1:817 TERRACE LN E UNIT 9
Mailing Address - Street 2:
Mailing Address - City:DIAMOND BAR
Mailing Address - State:CA
Mailing Address - Zip Code:91765-4571
Mailing Address - Country:US
Mailing Address - Phone:818-903-0827
Mailing Address - Fax:
Practice Address - Street 1:1300 BREA CANYON CUT OFF RD
Practice Address - Street 2:
Practice Address - City:WALNUT
Practice Address - State:CA
Practice Address - Zip Code:91789-3401
Practice Address - Country:US
Practice Address - Phone:909-598-3744
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-07-29
Last Update Date:2025-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA240058384101YS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YS0200XBehavioral Health & Social Service ProvidersCounselorSchool