Healthcare Provider Details

I. General information

NPI: 1992298624
Provider Name (Legal Business Name): HAK S. CHOI DDS INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/07/2018
Last Update Date: 06/20/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

680 WILSHIRE PL STE 314
LOS ANGELES CA
90005
US

IV. Provider business mailing address

680 WILSHIRE PL STE 314
LOS ANGELES CA
90005-3950
US

V. Phone/Fax

Practice location:
  • Phone: 213-263-2833
  • Fax: 213-263-2853
Mailing address:
  • Phone: 213-263-2833
  • Fax: 213-263-2853

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223D0001X
TaxonomyPublic Health Dentistry
License Number
License Number State

VIII. Authorized Official

Name: HAROLD H CHOI
Title or Position: OWNER
Credential: DDS
Phone: 213-263-2833