Healthcare Provider Details

I. General information

NPI: 1154058774
Provider Name (Legal Business Name): K. CHOI DDS INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/03/2022
Last Update Date: 04/20/2026
Certification Date: 04/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7201 GREENLEAF AVE STE C
WHITTIER CA
90602-1373
US

IV. Provider business mailing address

7201 GREENLEAF AVE STE C
WHITTIER CA
90602-1373
US

V. Phone/Fax

Practice location:
  • Phone: 562-945-1684
  • Fax:
Mailing address:
  • Phone: 562-945-1684
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number
License Number State

VIII. Authorized Official

Name: KEVIN SUNG AH CHOI
Title or Position: CEO, CFO, SECRETARY
Credential: DDS
Phone: 818-671-7268