Individual provider Active NPI

Hee Jong L Choi, L.AC

  • Physician Assistant
  • Northridge, CA
National Provider Identifier
1124189501
Registry record updated Mar 6, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA20193 Issued in CA
Practice address
9900 Balboa Blvd
Suite a
Northridge, CA 91325-5403
Phone
(818) 701-0017
Fax
(818) 701-0073
NPI assigned
Dec 12, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X AC7572 CA
Physician Assistant 363A00000X PA20193 CA Primary

Addresses

Primary practice location

9900 Balboa Blvd
Suite a
Northridge, CA 91325-5403

Mailing address

9900 Balboa Blvd
Suite a
Northridge, CA 91325-5403
Phone (818) 701-0017

Other identifiers 1

IdentifierTypeStateIssuer
AC7572OtherCACA LICENSED ACUPUNCTURIST

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090427000410 CA Practitioner - Physician Assistant 0941102248 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

4926 Palm Dr
La Canada, CA 91011-1515

5080 Spectrum Dr
Suite 1200W
Addison, TX 75001-6443

5901 W Century Blvd
Suite 750
Los Angeles, CA 90045-5443

9 Meron Dr
Monroe, NY 10950-8436

921 W Angeleno Ave
Apt a
Burbank, CA 91506-2235

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
AC7572CAMDAcupuncturist
PA20193CAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Renova Specialty Care PC CurrentSince Oct 30, 2025 Accepting new patients
Balboa Medical & Wellness Center,Inc. Current Accepting new patients
Empire Wound Care CurrentSince Dec 14, 2025 Accepting new patients
Raeesy MD Inc Past Accepting new patients

Locations

462 N Linden Dr
Ste 240
Beverly Hills, CA 90212
Phone (310) 247-0718

240 N Beverly Dr
Ste 240
Beverly Hills, CA 90210

136 E Walnut Ave
Monrovia, CA 91016
Phone (323) 803-3284

9900 Balboa Blvd
Ste E
Northridge, CA 91325
Phone (818) 701-0017

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1165881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1236297600000",
    "number": "1124189501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9900 BALBOA BLVD",
            "address_2": "SUITE A",
            "city": "NORTHRIDGE",
            "state": "CA",
            "postal_code": "913255403",
            "telephone_number": "818-701-0017",
            "fax_number": "818-701-0073"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9900 BALBOA BLVD",
            "address_2": "SUITE A",
            "city": "NORTHRIDGE",
            "state": "CA",
            "postal_code": "913255403",
            "telephone_number": "818-701-0017",
            "fax_number": "818-701-0073"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHOI",
        "first_name": "HEE JONG",
        "middle_name": "L",
        "credential": "L.AC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-12",
        "last_updated": "2009-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "AC7572",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA20193",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CA LICENSED ACUPUNCTURIST",
            "identifier": "AC7572",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Northridge, CA

Sources for this page

Verify at the official NPI Registry.