Healthcare Provider Details

I. General information

NPI: 1972821759
Provider Name (Legal Business Name): SUZIE HYUN CHO PHARM D
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/04/2010
Last Update Date: 05/11/2026
Certification Date: 05/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

747 GRAND AVE
DIAMOND BAR CA
91765-8400
US

IV. Provider business mailing address

15150 CALLE BARCELONA
CHINO HILLS CA
91709-5068
US

V. Phone/Fax

Practice location:
  • Phone: 909-610-2150
  • Fax:
Mailing address:
  • Phone: 909-732-3525
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number53199
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: