Provider Demographics
NPI:1639354913
Name:KYUNG H CHOI D.D.S. INC.
Entity Type:Organization
Organization Name:KYUNG H CHOI D.D.S. INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:KYUNG
Authorized Official - Middle Name:HYE
Authorized Official - Last Name:CHOI
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:626-443-7922
Mailing Address - Street 1:1928 TYLER AVE STE D
Mailing Address - Street 2:
Mailing Address - City:EL MONTE
Mailing Address - State:CA
Mailing Address - Zip Code:91733-3622
Mailing Address - Country:US
Mailing Address - Phone:626-443-7922
Mailing Address - Fax:626-443-7926
Practice Address - Street 1:1928 TYLER AVE STE D
Practice Address - Street 2:
Practice Address - City:EL MONTE
Practice Address - State:CA
Practice Address - Zip Code:91733-3622
Practice Address - Country:US
Practice Address - Phone:626-443-7922
Practice Address - Fax:626-443-7926
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-01-04
Last Update Date:2008-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA405601223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
1326166901OtherNPI TYPE 1