Active NPI
Hyunjin Choi
- General Practice Dentistry
- Loma Linda, CA
National Provider Identifier
1912352360
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 100191
- Practice address
- 24682 Stewart St Apt a
Loma Linda, CA 92354-2786 - Phone
- (909) 336-8422
- NPI assigned
- May 3, 2016
- Last updated
- May 3, 2016
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 100191 | CA | Primary |
Addresses
Primary practice location
24682 Stewart St Apt a
Loma Linda, CA 92354-2786
Mailing address
24682 Stewart St Apt a
Loma Linda, CA 92354-2786
Phone (909) 336-8422
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 |
|---|---|---|---|
| 100191 | CA | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1462233600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1462233600000",
"number": "1912352360",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "24682 STEWART ST APT A",
"city": "LOMA LINDA",
"state": "CA",
"postal_code": "923542786",
"telephone_number": "909-336-8422"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "24682 STEWART ST APT A",
"city": "LOMA LINDA",
"state": "CA",
"postal_code": "923542786",
"telephone_number": "909-336-8422"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHOI",
"first_name": "HYUNJIN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-05-03",
"last_updated": "2016-05-03",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "CA",
"license": "100191",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Loma Linda, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.