MEDICARE: ALVINA CHOI DDS

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
1	122300000X	Dentist	100437	CA

General Provider Information

NPI Number	:	1962955179
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALVINA CHOI DDS

Provider Business Mailing Address
First Line	:	10905 OHIO AVE
Second Line	:	APT 301
City	:	LOS ANGELES
State	:	CA
Zip	:	90024-5461
Country	:	US
Telephone Number	:	909-632-4794
Fax Number	:

Provider Business Practice Location Address
First Line	:	1955 LAKE AVE
Second Line	:
City	:	ALTADENA
State	:	CA
Zip	:	91001-3037
Country	:	US
Telephone Number	:	626-795-8628
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/25/2016
Last Update Date	:	07/25/2016

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Directions to “ ALVINA CHOI DDS” Practice Location

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