Provider Demographics
NPI:1538539853
Name:MIGUEL A. CHOY MARTINEZ
Entity type:Organization
Organization Name:MIGUEL A. CHOY MARTINEZ
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DR. CHOY
Authorized Official - Prefix:
Authorized Official - First Name:MIGUE
Authorized Official - Middle Name:ANGEL
Authorized Official - Last Name:CHOY MARTINEZ
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:562-423-0881
Mailing Address - Street 1:6637 CHERRY AVE
Mailing Address - Street 2:
Mailing Address - City:LONG BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:90805-1714
Mailing Address - Country:US
Mailing Address - Phone:562-423-0881
Mailing Address - Fax:562-423-1669
Practice Address - Street 1:6637 CHERRY AVE
Practice Address - Street 2:
Practice Address - City:LONG BEACH
Practice Address - State:CA
Practice Address - Zip Code:90805-1714
Practice Address - Country:US
Practice Address - Phone:562-423-0881
Practice Address - Fax:562-423-1669
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-09-29
Last Update Date:2015-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty