Haewon Choi DDS Inc

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

HAEWON CHOI DDS INC

Practice address

1808 Artesia Blvd
Redondo Beach, CA 90278-2906

Phone

(310) 617-3400

NPI assigned

Oct 1, 2020

Organization subpart

No

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

Authorized official

Name

Haewon ChoiNPI 1629359989

Title

President

Phone

(310) 617-3400

Specialties & licenses 1

Addresses

Other names 1

• Pelican Dental Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Haewon Choi, DDS

  • General Practice Dentistry
  • Los Angeles, CA
  • NPI 1629359989
  NPD Authorized official

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

{
    "created_epoch": "1601510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1601510400000",
    "number": "1841897014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1808 ARTESIA BLVD",
            "city": "REDONDO BEACH",
            "state": "CA",
            "postal_code": "902782906",
            "telephone_number": "310-617-3400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1808 ARTESIA BLVD",
            "city": "REDONDO BEACH",
            "state": "CA",
            "postal_code": "902782906",
            "telephone_number": "310-617-3400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAEWON CHOI DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-01",
        "last_updated": "2020-10-01",
        "certification_date": "2020-10-01",
        "status": "A",
        "authorized_official_last_name": "CHOI",
        "authorized_official_first_name": "HAEWON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-617-3400"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pelican Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jessica Lynn Gunderson, MS, AOCNP, NP-C, CNS
• Emily Gutierrez
• Liana Gutierrez
• Lindsay Dawn Gutierrez, FNP-C
• Jai Ha
• Victoria Hahn
• Mustafa Hakami
• Erika Hall, MFT
• Justin Masakazu Hamasu
• Katie Jane Hamilton, CNM, IBCLC

• General Practice Dentistry in Redondo Beach, CA
• Providers in Redondo Beach, 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 Oct 1, 2020; 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.