Lee & Choi DDS, Inc.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

58345 Issued in CA

Legal business name

LEE & CHOI DDS, INC.

Practice address

1025 Sentinel Dr Ste 202a
La Verne, CA 91750-3280

Phone

(909) 596-4811

Fax

(909) 596-5102

NPI assigned

Mar 19, 2012

Last updated

Apr 27, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kyung Duk ChoiNPI 1679700561

Title

Ceo

Phone

(909) 596-4811

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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.

• Kyung Duk Choi, DDS

  • General Practice Dentistry
  • La Verne, CA
  • NPI 1679700561
  Authorized official Same address or phone

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

{
    "created_epoch": "1332115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1682553600000",
    "number": "1457626830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1025 SENTINEL DR STE 202A",
            "city": "LA VERNE",
            "state": "CA",
            "postal_code": "917503280",
            "telephone_number": "909-596-4811",
            "fax_number": "909-596-5102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1025 SENTINEL DR STE 202A",
            "city": "LA VERNE",
            "state": "CA",
            "postal_code": "917503280",
            "telephone_number": "909-596-4811",
            "fax_number": "909-596-5102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEE & CHOI DDS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-19",
        "last_updated": "2023-04-27",
        "certification_date": "2023-04-27",
        "status": "A",
        "authorized_official_last_name": "CHOI",
        "authorized_official_first_name": "KYUNG DUK",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "909-596-4811"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "58345",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• General Practice Dentistry in La Verne, CA
• Providers in La Verne, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.