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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 4 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1083142269 NPPES
California MEDICAID NA

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