Healthcare Provider Details

I. General information

NPI: 1700239365
Provider Name (Legal Business Name): STEEVE CHOE DDS PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/19/2016
Last Update Date: 07/19/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

680 WILSHIRE PL SUITE 314
LOS ANGELES CA
90005-3931
US

IV. Provider business mailing address

680 WILSHIRE PL SUITE 314
LOS ANGELES CA
90005-3931
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 Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number32281
License Number StateCA

VIII. Authorized Official

Name: STEEVE C CHOE
Title or Position: PRESIDENT
Credential:
Phone: 213-263-2833