Healthcare Provider Details

I. General information

NPI: 1376411066
Provider Name (Legal Business Name): CHO INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/25/2025
Last Update Date: 06/26/2026
Certification Date: 06/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4075 WHITTIER BLVD STE A
LOS ANGELES CA
90023-2525
US

IV. Provider business mailing address

4075 WHITTIER BLVD STE A
LOS ANGELES CA
90023-2525
US

V. Phone/Fax

Practice location:
  • Phone: 626-862-0794
  • Fax:
Mailing address:
  • Phone: 626-862-0794
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code333600000X
TaxonomyPharmacy
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code3336C0004X
TaxonomyCompounding Pharmacy
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code3336M0002X
TaxonomyMail Order Pharmacy
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code3336S0011X
TaxonomySpecialty Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: JEREMY HANA
Title or Position: CEO/PHARMACIST
Credential: PHARMD
Phone: 626-862-0794