Provider Demographics
NPI:1700239365
Name:STEEVE CHOE DDS PC
Entity Type:Organization
Organization Name:STEEVE CHOE DDS PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:STEEVE
Authorized Official - Middle Name:C
Authorized Official - Last Name:CHOE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:213-263-2833
Mailing Address - Street 1:680 WILSHIRE PL
Mailing Address - Street 2:SUITE 314
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90005-3931
Mailing Address - Country:US
Mailing Address - Phone:213-263-2833
Mailing Address - Fax:213-263-2853
Practice Address - Street 1:680 WILSHIRE PL
Practice Address - Street 2:SUITE 314
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90005-3931
Practice Address - Country:US
Practice Address - Phone:213-263-2833
Practice Address - Fax:213-263-2853
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:STEEVE CHOE DDS PC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2016-07-19
Last Update Date:2016-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA322811223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty