Organization Active NPI

Dr. S. Kent Choi, Inc.

  • Chiropractor
  • Cerritos, CA
National Provider Identifier
1093966863
Registry record updated Oct 9, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC27404 Issued in CA
Legal business name
DR. S. KENT CHOI, INC.
Practice address
11911 Artesia Blvd Ste 102
Cerritos, CA 90701-4065
Phone
(562) 809-3112
Fax
(562) 809-3139
NPI assigned
Oct 9, 2008
Last updated
Oct 9, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2008

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

Authorized official

Name
Dr. Songhoo Kent Choi, D.C.NPI 1457437410
Title
Doctor of Chiropractic
Phone
(562) 809-3112

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC27404 CA Primary

Addresses

Primary practice location

11911 Artesia Blvd Ste 102
Cerritos, CA 90701-4065

Mailing address

11911 Artesia Blvd Ste 102
Cerritos, CA 90701-4065
Phone (562) 809-3112

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100308000289 CA Part B Supplier - Clinic/Group Practice 3779628375 Receives reassigned benefits from 1 practitioner
Practice locations: Cerritos, CA

National Provider Directory

National Provider Directory

Locations

11911 Artesia Blvd
Ste 102
Cerritos, CA 90701
Phone (562) 650-7760

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1223510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1223510400000",
    "number": "1093966863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11911 ARTESIA BLVD STE 102",
            "city": "CERRITOS",
            "state": "CA",
            "postal_code": "907014065",
            "telephone_number": "562-809-3112",
            "fax_number": "562-809-3139"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11911 ARTESIA BLVD STE 102",
            "city": "CERRITOS",
            "state": "CA",
            "postal_code": "907014065",
            "telephone_number": "562-809-3112",
            "fax_number": "562-809-3139"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. S. KENT CHOI, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-09",
        "last_updated": "2008-10-09",
        "status": "A",
        "authorized_official_last_name": "CHOI",
        "authorized_official_first_name": "SONGHOO",
        "authorized_official_middle_name": "KENT",
        "authorized_official_title_or_position": "DOCTOR OF CHIROPRACTIC",
        "authorized_official_telephone_number": "562-809-3112",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC27404",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cerritos, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.