Individual
DR. KEVIN JAE CHOI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
966 S WESTERN AVE STE 101, LOS ANGELES, CA 90006-1014
(213) 267-2566
(213) 463-9131
Mailing address
966 S WESTERN AVE STE 101, LOS ANGELES, CA 90006-1014
(213) 267-2566
(213) 463-9131
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
A156572
CA
207YP0228X
Pediatric Otolaryngology Physician
A156572
CA
207YX0602X
Otolaryngic Allergy Physician
A156572
CA
Other
Enumeration date
04/20/2012
Last updated
07/29/2020
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