Provider Demographics
NPI:1225825102
Name:CHOI, SEUNG WAN (AMFT)
Entity type:Individual
Prefix:
First Name:SEUNG
Middle Name:WAN
Last Name:CHOI
Suffix:
Gender:
Credentials:AMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1555 W SUNSET BLVD STE C
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90026-7521
Mailing Address - Country:US
Mailing Address - Phone:818-669-0658
Mailing Address - Fax:
Practice Address - Street 1:1555 W SUNSET BLVD STE C
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90026-7521
Practice Address - Country:US
Practice Address - Phone:818-669-0658
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-04-23
Last Update Date:2025-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA145157106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist