Healthcare Provider Details

I. General information

NPI: 1891453320
Provider Name (Legal Business Name): PRISCILLA B CHO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/01/2021
Last Update Date: 04/15/2026
Certification Date: 04/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

700 N JOHNSON AVE
EL CAJON CA
92020-2592
US

IV. Provider business mailing address

700 N JOHNSON AVE STE P
EL CAJON CA
92020-2589
US

V. Phone/Fax

Practice location:
  • Phone: 619-441-1907
  • Fax:
Mailing address:
  • Phone: 310-856-0800
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: