MEDICARE: DR. ASONGU JOSEPHINE NCHO MD

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
1	207R00000X	Internal Medicine Physician	A145428	CA

General Provider Information

NPI Number	:	1689612897
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ASONGU JOSEPHINE NCHO MD

Provider Business Mailing Address
First Line	:	7225 CRESCENT PARK W APT 372
Second Line	:
City	:	PLAYA VISTA
State	:	CA
Zip	:	90094-2756
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	5450 LINCOLN BLVD
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90094-2002
Country	:	US
Telephone Number	:	310-305-9200
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/02/2006
Last Update Date	:	02/14/2017

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