Joesky Ky Chou, DDS

Individual provider Active NPI Orthodontics and Dentofacial Orthopedics Dentistry · La Habra Heights, CA

NPI 1770823650 · NPPES record last updated Feb 28, 2013

Key facts

NPI
1770823650
Entity type
Individual (NPI type 1)
Primary specialty
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X
License
B 26361 (CA)
Practice address
1418 Popenoe Rd
La Habra Heights, CA 90631-8434
Phone
(909) 610-5956
NPI assigned
Feb 28, 2013
Sex
Male
Sole proprietor
Yes

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
B 26361CAMDOrthodontics and Dentofacial Orthopedic Dentist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X B 26361 CA Yes

Addresses

Primary practice location

1418 Popenoe Rd
La Habra Heights, CA 90631-8434

Mailing address

1418 Popenoe Rd
La Habra Heights, CA 90631-8434
Phone (909) 610-5956

Other providers in La Habra Heights, CA

All providers in La Habra Heights, CA · Orthodontics and Dentofacial Orthopedics Dentistry in California

Sources for this page

Verify at the official NPI Registry.