Choi, Kevin
Choi, Kevin is an sole proprietor health care provider with primary practice located at 1295 S La Brea Ave Ste 101 , Inglewood CA 90301-0972. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Dental Providers / General Practice. Dental Providers / General Practice is his primary health care specialty. Choi, Kevin can be contacted via phone (310) 672-0129.Contact Information
Primary practice address
1295 S La Brea Ave Ste 101
Inglewood CA 90301-0972
Phone: (310) 672-0129
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
Dental Providers / General Practice | 1223G0001X | 102542 | California |
Profile Details
NPI number | 1083142269 |
---|---|
LBN Legal business name | Choi, Kevin |
Credentials | |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | May 31st, 2017 |
Last updated | Aug 11th, 2022 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1083142269 | NPPES |
California | MEDICAID | NA |
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