Healthcare Provider Details

I. General information

NPI: 1083243414
Provider Name (Legal Business Name): CHRISTY CHO MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/07/2020
Last Update Date: 10/13/2025
Certification Date: 10/13/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7115 GREENBACK LN FL 3
CITRUS HEIGHTS CA
95621-5637
US

IV. Provider business mailing address

3400 DATA DR
RANCHO CORDOVA CA
95670-7956
US

V. Phone/Fax

Practice location:
  • Phone: 916-536-3520
  • Fax: 916-536-3527
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberA202256
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: