Healthcare Provider Details

I. General information

NPI: 1912422528
Provider Name (Legal Business Name): MARIA H CHO FNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/04/2017
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2511 MARKET ST
OAKLAND CA
94607
US

IV. Provider business mailing address

2511 MARKET ST
OAKLAND CA
94607-3437
US

V. Phone/Fax

Practice location:
  • Phone: 510-290-2760
  • Fax:
Mailing address:
  • Phone: 510-290-2760
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberNP95004593
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code163WX0200X
TaxonomyOncology Registered Nurse
License Number497839
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: