Provider Demographics
NPI:1861904351
Name:HUYNH, JENNY SUN CHOI (FNP-BC)
Entity type:Individual
Prefix:
First Name:JENNY
Middle Name:SUN CHOI
Last Name:HUYNH
Suffix:
Gender:F
Credentials:FNP-BC
Other - Prefix:
Other - First Name:JENNY
Other - Middle Name:SUN
Other - Last Name:CHOI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2491 PURDUE AVE APT 224
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90064-5119
Mailing Address - Country:US
Mailing Address - Phone:909-576-7776
Mailing Address - Fax:
Practice Address - Street 1:2505 SANTA MONICA BLVD
Practice Address - Street 2:
Practice Address - City:SANTA MONICA
Practice Address - State:CA
Practice Address - Zip Code:90404-2011
Practice Address - Country:US
Practice Address - Phone:866-389-2727
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-10-25
Last Update Date:2017-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95006769363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily