MEDICARE: DR. ANDREW S CHO M.D.

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
1	207W00000X	Ophthalmology Physician	A61194	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1225072481
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ANDREW S CHO M.D.

Provider Business Mailing Address
First Line	:	4220 W 3RD ST
Second Line	:	SUITE 206
City	:	LOS ANGELES
State	:	CA
Zip	:	90020-3450
Country	:	US
Telephone Number	:	213-380-8800
Fax Number	:	213-381-7474

Provider Business Practice Location Address
First Line	:	4220 W 3RD ST
Second Line	:	SUITE 206
City	:	LOS ANGELES
State	:	CA
Zip	:	90020-3450
Country	:	US
Telephone Number	:	213-380-8800
Fax Number	:	213-381-7474

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/16/2006
Last Update Date	:	10/06/2011

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Directions to “ DR. ANDREW S CHO M.D.” Practice Location

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