MEDICARE: DR. DAVID W. CHO DDS

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	1223G0001X	General Practice Dentistry	52839	CA

General Provider Information

NPI Number	:	1306955455
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DAVID W. CHO DDS

Provider Business Mailing Address
First Line	:	1968 S COAST HWY # 614
Second Line	:
City	:	LAGUNA BEACH
State	:	CA
Zip	:	92651-3681
Country	:	US
Telephone Number	:	949-313-4032
Fax Number	:

Provider Business Practice Location Address
First Line	:	1968 S COAST HWY # 614
Second Line	:
City	:	LAGUNA BEACH
State	:	CA
Zip	:	92651-3681
Country	:	US
Telephone Number	:	949-313-4032
Fax Number	:

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

Provider Enumeration Date	:	08/30/2006
Last Update Date	:	12/23/2025

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