Healthcare Provider Details

I. General information

NPI: 1982958005
Provider Name (Legal Business Name): KAIKEI CHO, MD
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/29/2012
Last Update Date: 10/29/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6077 COFFEE RD SUITE 4 PMB 98
BAKERSFIELD CA
93308-9416
US

IV. Provider business mailing address

123 N GARFIELD AVE SUTE # A
ALHAMBRA CA
91801-3564
US

V. Phone/Fax

Practice location:
  • Phone: 661-326-6616
  • Fax: 626-236-5729
Mailing address:
  • Phone: 661-326-6616
  • Fax: 626-236-5729

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberA64347
License Number StateCA

VIII. Authorized Official

Name: KAIKEI CHO
Title or Position: OWNER
Credential: M.D.
Phone: 661-326-6616