Individual provider Active NPI

Sang Don Choi, D.D.S.

  • General Practice Dentistry
  • Los Angeles, CA
National Provider Identifier
1801935994
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
37090 Issued in CA
Practice address
711 S Vermont Ave
#111
Los Angeles, CA 90005-1519
Phone
(213) 387-2325
Fax
(213) 387-0910
NPI assigned
Feb 5, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 37090 CA Primary

Addresses

Primary practice location

711 S Vermont Ave
#111
Los Angeles, CA 90005-1519

Mailing address

711 S Vermont Ave
#111
Los Angeles, CA 90005-1519
Phone (213) 387-2325

Other names 1

  • Dr. Sang Don Choi Former name

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
37090CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Sundo Ham, DDS. Inc. Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1170633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1801935994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "711 S VERMONT AVE",
            "address_2": "#111",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900051519",
            "telephone_number": "213-387-2325",
            "fax_number": "213-387-0910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "711 S VERMONT AVE",
            "address_2": "#111",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900051519",
            "telephone_number": "213-387-2325",
            "fax_number": "213-387-0910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHOI",
        "first_name": "SANG",
        "middle_name": "DON",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "37090",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SANG",
            "last_name": "CHOI",
            "middle_name": "DON",
            "prefix": "DR.",
            "credential": "D.D.S.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.