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NPI 1306038476

NPI 1306038476 : SUSIE J CHO MD : NORTHRIDGE, CA

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General NPI Number Information
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    NPI Number           |    1306038476
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    Entity Type          |    Individual 
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    Provider Name        |    SUSIE J CHO MD
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    08/13/2007
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    Last Update Date     |    07/13/2025
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Provider Practice Location Address
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    Address Line         |    8223 LOUISE AVE 
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    City                 |    NORTHRIDGE
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    State                |    CA
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    Zip                  |    91325-4449
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    Country              |    US
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    Telephone            |    510-543-1915
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    PO BOX 16071 
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    City                 |    ENCINO
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    State                |    CA
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    Zip                  |    91416-6071
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    Country              |    US
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    Telephone            |    510-543-1915
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    Fax                  |    213-772-6870
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    207L00000X
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    Taxonomy Name        |    Anesthesiology Physician
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    License Number       |    A100620
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    License Number State |    CA
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