MEDICARE: MS. MI 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
1	183500000X	Pharmacist	RPH52724	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	:	1295117869
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. MI CHO

Provider Business Mailing Address
First Line	:	402 E 2ND ST
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90012-4209
Country	:	US
Telephone Number	:	213-680-4011
Fax Number	:

Provider Business Practice Location Address
First Line	:	402 E 2ND ST
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90012-4209
Country	:	US
Telephone Number	:	213-680-4011
Fax Number	:

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

Provider Enumeration Date	:	06/19/2015
Last Update Date	:	06/19/2015

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Directions to “ MS. MI CHO ” Practice Location

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