Healthcare Provider Details

I. General information

NPI: 1104705557
Provider Name (Legal Business Name): BRANDON ALEXANDER CHO MSW, CWC
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/29/2025
Last Update Date: 08/13/2026
Certification Date: 08/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1000 TOWN CENTER DR # 410
OXNARD CA
93036-1100
US

IV. Provider business mailing address

6448 VALLEY CIRCLE BLVD
WEST HILLS CA
91307-2805
US

V. Phone/Fax

Practice location:
  • Phone: 805-586-1152
  • Fax:
Mailing address:
  • Phone: 818-590-1472
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number140528
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code171400000X
TaxonomyHealth & Wellness Coach
License NumberE330188DD6
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: