Provider Demographics
NPI:1467572529
Name:YONG CHUN CHOE DDS INC
Entity Type:Organization
Organization Name:YONG CHUN CHOE DDS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:YONG
Authorized Official - Middle Name:CHUN
Authorized Official - Last Name:CHOE
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:213-739-0150
Mailing Address - Street 1:2675 W OLYMPIC BLVD
Mailing Address - Street 2:300
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90006-2880
Mailing Address - Country:US
Mailing Address - Phone:213-739-0150
Mailing Address - Fax:213-739-0250
Practice Address - Street 1:2675 W OLYMPIC BLVD
Practice Address - Street 2:300
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90006-2880
Practice Address - Country:US
Practice Address - Phone:213-739-0150
Practice Address - Fax:213-739-0250
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:YONG CHUN CHOE DDS INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2007-03-30
Last Update Date:2013-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAB5259301OtherACCESS DENTAL
CA=========OtherDELTA