Seungho Choi

Individual provider Active NPI General Practice Dentistry · Los Angeles, CA

NPI 1649549254 · NPPES record last updated Dec 28, 2011

Key facts

NPI
1649549254
Entity type
Individual (NPI type 1)
Primary specialty
General Practice Dentistry 1223G0001X
License
59716 (CA)
Practice address
3800 Wilshire Blvd # 207
Los Angeles, CA 90010-3231
Phone
(213) 386-6700
NPI assigned
Dec 28, 2011
Sex
Male
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 59716 CA Yes

Addresses

Primary practice location

3800 Wilshire Blvd # 207
Los Angeles, CA 90010-3231

Mailing address

5600 Wilshire Blvd Apt 549
Los Angeles, CA 90036-3784

Other providers in Los Angeles, CA

All providers in Los Angeles, CA · General Practice Dentistry in California

Sources for this page

Verify at the official NPI Registry.