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NPI Code Detail

MEDICARE: LUKE K. CHOI, DDS, MS, INC.

MEDICARE: LUKE K. CHOI, DDS, MS, INC.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11223G0001XGeneral Practice Dentistry34316CA

General Provider Information

NPI Number : 1033245279
Entity Type Code : Organization
Provider Name (Legal Business Name) : LUKE K. CHOI, DDS, MS, INC.
Provider Business Mailing Address
First Line : 1001 E CHAPMAN AVE
Second Line : SUITE A
City : FULLERTON
State : CA
Zip : 92831-3811
Country : US
Telephone Number : 714-871-7000
Fax Number : 714-871-7080
Provider Business Practice Location Address
First Line : 1001 E CHAPMAN AVE
Second Line : SUITE A
City : FULLERTON
State : CA
Zip : 92831-3811
Country : US
Telephone Number : 714-871-7000
Fax Number : 714-871-7080
Authorized Official
Title or Position : OWNER
Name : DR. LUKE CHOI
Credential : DDS
Telephone Number : 714-871-7000
Provider Enumeration Date : 02/23/2007
Last Update Date : 08/22/2020

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