Healthcare Provider Details
I. General information
NPI: 1861345878
Provider Name (Legal Business Name): LUMAIR DENTISTRY
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 02/18/2026
Last Update Date: 02/18/2026
Certification Date: 02/18/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1480 S HARBOR BLVD STE 3
LA HABRA CA
90631-7562
US
IV. Provider business mailing address
7077 OREGON ST
BUENA PARK CA
90621-3624
US
V. Phone/Fax
- Phone: 720-641-7141
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QD0000X |
| Taxonomy | Dental Clinic/Center |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
SCOTT
CHOI
Title or Position: CEO
Credential: DMD
Phone: 720-641-7141