Provider Demographics
NPI:1619578713
Name:OCHOCO, CHENG, GARCIA AND HUYNH DENTAL CORPORATION
Entity type:Organization
Organization Name:OCHOCO, CHENG, GARCIA AND HUYNH DENTAL CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:AARON
Authorized Official - Middle Name:
Authorized Official - Last Name:OCHOCO
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:310-453-5300
Mailing Address - Street 1:2811 WILSHIRE BLVD STE 600
Mailing Address - Street 2:
Mailing Address - City:SANTA MONICA
Mailing Address - State:CA
Mailing Address - Zip Code:90403-4822
Mailing Address - Country:US
Mailing Address - Phone:310-453-5300
Mailing Address - Fax:
Practice Address - Street 1:2811 WILSHIRE BLVD STE 600
Practice Address - Street 2:
Practice Address - City:SANTA MONICA
Practice Address - State:CA
Practice Address - Zip Code:90403-4822
Practice Address - Country:US
Practice Address - Phone:310-453-5300
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-11-04
Last Update Date:2020-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty