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NPI Code Detail

MEDICARE: ANGELA CHO

MEDICARE: ANGELA CHO
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1106S00000XBehavior Technician

General Provider Information

NPI Number : 1194226159
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANGELA CHO
Provider Business Mailing Address
First Line : 3325 SUMMER PARK DRIVE
Second Line : 280
City : SACRAMENTO
State : CA
Zip : 95834
Country : US
Telephone Number : 707-303-6808
Fax Number :
Provider Business Practice Location Address
First Line : 1050 FULTON AVE
Second Line :
City : SACRAMENTO
State : CA
Zip : 95825-4272
Country : US
Telephone Number : 916-974-2599
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/26/2018
Last Update Date : 02/26/2018

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Directions to “ ANGELA CHO ” Practice Location

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