Healthcare Provider Details

I. General information

NPI: 1740949726
Provider Name (Legal Business Name): JASMINE CHO ACUPUNCTURIST
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/17/2021
Last Update Date: 03/11/2026
Certification Date: 03/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

101 S KRAEMER BLVD STE 125
PLACENTIA CA
92870-6100
US

IV. Provider business mailing address

101 S KRAEMER BLVD STE 125
PLACENTIA CA
92870-6100
US

V. Phone/Fax

Practice location:
  • Phone: 714-702-8084
  • Fax:
Mailing address:
  • Phone: 714-702-8084
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License NumberAC19285
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: