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Deactivated NPI 1750061107 Deactivated / Inactive NPI Female Practitioner

Dr. Ji Won Choe , DDS

Dentist - General Practice • La Mesa, CA

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Ji Won Choe has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date July 20, 2023
NPI Deactivation Date February 26, 2024
Total Practice Duration ~1 Years of Practice (2023 – 2024)

Professional Overview & Biography Verified Profile Summary

Dr. Ji Won Choe, DDS was a registered Dentist - General Practice practicing in La Mesa, CA. Throughout an active medical career spanning 1 years, Dr. Choe provided care at the practice location at 3767 AVOCADO BLVD until profile deactivation on 2024-02-26.

Practice Location & Contact Primary Location

Practice Address

3767 Avocado Blvd

La Mesa, CA 919417301

Telephone 6197292323
Associated Practice Facility / Clinic
🏢 Cheryl Tran Dds Inc. Facility NPI 1396128658

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in La Mesa, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 3.0 Yrs
State Avg: 21.7 Yrs
Regional Practice Density
73 Specialists

Practicing in La Mesa, CA (18734 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2026-01-13
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License CA 112425

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Student in an Organized Health Care Education/Training Program

NUCC Taxonomy Code: 390200000X

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Secondary Practice Locations

345 E. 24th Street

New York, NY 10010

Phone: 2129989800

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

6 Associated Practitioners
NPI 1326524364

Doctor of Dental Medicine

Dr. Lina Al-Saadi , DMD

Dentist - General Practice

NPI 1326856584

Doctor of Dental Medicine

Dr. Quynh Pham , DDS

Dentist - General Practice

NPI 1366917353

Doctor of Dental Surgery

NPI 1447182092
NPI 1831645894

Doctor of Dental Surgery

NPI 1851915789

Doctor of Dental Medicine

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

13 Historical Events
📍
Updated Practice Location January 13, 2026

Registered at 3767 AVOCADO BLVD, LA MESA, CA 919417301 (Tel: 6197292323)

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Medical Taxonomy / Specialty Registered (Primary Specialty) January 13, 2026

Student in an Organized Health Care Education/Training Program

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Updated Practice Location December 03, 2025

Registered at 345 E. 24TH STREET, NEW YORK, NY 10010 (Tel: 2129989800)

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Updated Business Mailing Address December 03, 2025

Registered at 7770 WESTSIDE DR APT 202, SAN DIEGO, CA 921081214 (Tel: 3477390530)

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Provider Name / Credentials Updated December 03, 2025

Recorded as JI WON CHOE, D.D.S

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Medical Taxonomy / Specialty Registered (Primary Specialty) December 03, 2025

Dentist (License #112425 in CA)

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NPI Profile Deactivated February 26, 2024

Record deactivated on February 26, 2024

NPI Profile Active July 20, 2023

NPI status registered as active in NPPES database

📍
Updated Practice Location July 20, 2023

Registered at 345 E. 24TH STREET, NEW YORK, NY 10010 (Tel: 2129989800)

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Updated Business Mailing Address July 20, 2023

Registered at 345 E. 24TH STREET, NEW YORK, NY 10010 (Tel: 2129989800)

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Provider Name / Credentials Updated July 20, 2023

Recorded as JI WON CHOE, D.D.S

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 20, 2023

Student in an Organized Health Care Education/Training Program

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Initial NPI Registration & Enumeration July 20, 2023

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1750061107
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 20, 2023
Last Update: January 13, 2026
Deactivation Date: February 26, 2024
Sole Proprietor: No

Mailing Address

7770 Westside Dr Apt 202

San Diego, CA 921081214

Phone: 3477390530

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.