Active NPI
Mark Sukjoon Choi
- Optometrist
- Torrance, CA
National Provider Identifier
1770064610
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OPT33475
- Practice address
- 2640 Lomita Blvd
Torrance, CA 90505-5214 - Phone
- (310) 539-7100
- NPI assigned
- Aug 28, 2018
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | OPT33475 | CA | Primary |
Addresses
Primary practice location
2640 Lomita Blvd
Torrance, CA 90505-5214
Mailing address
15022 Olive LN
La Mirada, CA 90638-1305
Phone (714) 341-9097
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OPT33475 | CA | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1535414400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1621296000000",
"number": "1770064610",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15022 OLIVE LN",
"city": "LA MIRADA",
"state": "CA",
"postal_code": "906381305",
"telephone_number": "714-341-9097"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2640 LOMITA BLVD",
"city": "TORRANCE",
"state": "CA",
"postal_code": "905055214",
"telephone_number": "310-539-7100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHOI",
"first_name": "MARK",
"middle_name": "SUKJOON",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-08-28",
"last_updated": "2021-05-18",
"certification_date": "2021-05-18",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "CA",
"license": "OPT33475",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Torrance, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.