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NPI Code Detail

MEDICARE: WONJUNG CHO

MEDICARE: WONJUNG CHO
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1171100000XAcupuncturistAC16022CA

General Provider Information

NPI Number : 1073925657
Entity Type Code : Individual
Provider Name (Legal Business Name) : WONJUNG CHO
Provider Business Mailing Address
First Line : 4812 DAROCA WAY
Second Line :
City : BUENA PARK
State : CA
Zip : 90621-1111
Country : US
Telephone Number : 424-469-6387
Fax Number :
Provider Business Practice Location Address
First Line : 2310 ARTESIA BLVD
Second Line :
City : REDONDO BEACH
State : CA
Zip : 90278-3114
Country : US
Telephone Number : 424-469-6387
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/29/2014
Last Update Date : 12/20/2024

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Directions to “ WONJUNG CHO ” Practice Location

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