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General NPI Number Information
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NPI Number | 1902952559
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Entity Type | Individual
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Provider Name | MAN CHUL CHO M.D.
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Gender | Male
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Dates
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Enumeration Date | 01/26/2007
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Last Update Date | 05/20/2021
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Provider Practice Location Address
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Address Line | 3130 W. OLYMPIC BLVD., SUITE 370
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City | LOS ANGELES
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State | CA
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Zip | 90006
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Country | US
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Telephone | 323-733-1111
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Fax | 323-733-1113
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Provider Business Mailing Address
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Address Line | 3130 W OLYMPIC BLVD STE 370
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City | LOS ANGELES
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State | CA
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Zip | 90006-2657
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Country | US
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Telephone | 323-733-1111
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Fax | 323-733-1113
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | A42052
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License Number State | CA
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