Provider Demographics
NPI:1679802813
Name:CHOE, JOONHO (DDS)
Entity type:Individual
Prefix:DR
First Name:JOONHO
Middle Name:
Last Name:CHOE
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:333 S ALAMEDA ST STE 213
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90013-1734
Mailing Address - Country:US
Mailing Address - Phone:213-631-2555
Mailing Address - Fax:213-631-2556
Practice Address - Street 1:333 S ALAMEDA ST STE 213
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90013-1734
Practice Address - Country:US
Practice Address - Phone:213-631-2555
Practice Address - Fax:213-631-2556
Is Sole Proprietor?:Yes
Enumeration Date:2009-12-17
Last Update Date:2022-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA504511223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice