MEDICARE: JAI-HYON RHO, MD, PHD, A MEDICAL CORP

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	2084N0400X	Neurology Physician	A60659	CA

General Provider Information

NPI Number	:	1710012075
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	JAI-HYON RHO, MD, PHD, A MEDICAL CORP

Provider Business Mailing Address
First Line	:	1555 HILLCREST AVE
Second Line	:
City	:	PASADENA
State	:	CA
Zip	:	91106-4504
Country	:	US
Telephone Number	:	213-407-5114
Fax Number	:	626-395-7557

Provider Business Practice Location Address
First Line	:	1555 HILLCREST AVE
Second Line	:
City	:	PASADENA
State	:	CA
Zip	:	91106-4504
Country	:	US
Telephone Number	:	213-407-5114
Fax Number	:

Authorized Official
Title or Position	:	M.D
Name	:	DR. JAI-HYON RHO
Credential	:	M.D PH.D
Telephone Number	:	626-793-2014

Provider Enumeration Date	:	02/23/2007
Last Update Date	:	03/17/2018

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