Healthcare Provider Details

I. General information

NPI: 1093144636
Provider Name (Legal Business Name): CHRISTINE CHO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/04/2013
Last Update Date: 11/04/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7212 ORANGETHORPE AVE SUITE 9A
BUENA PARK CA
90621-3341
US

IV. Provider business mailing address

7212 ORANGETHORPE AVE SUITE 9A
BUENA PARK CA
90621-3341
US

V. Phone/Fax

Practice location:
  • Phone: 714-503-6550
  • Fax: 714-562-8729
Mailing address:
  • Phone: 714-503-6550
  • Fax: 714-562-8729

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number847844
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: