MEDICARE: SUNNY SUN-YOUNG CHO LMFT

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	106H00000X	Marriage & Family Therapist	72390	CA
2	106H00000X	Marriage & Family Therapist	106062	CA

General Provider Information

NPI Number	:	1386925220
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SUNNY SUN-YOUNG CHO LMFT

Provider Business Mailing Address
First Line	:	3950 EAGLE ROCK BLVD UNIT 65904
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90065-4515
Country	:	US
Telephone Number	:	213-293-8586
Fax Number	:

Provider Business Practice Location Address
First Line	:	1145 ONEONTA DR
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90065-4254
Country	:	US
Telephone Number	:	310-938-2468
Fax Number	:

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

Provider Enumeration Date	:	09/06/2011
Last Update Date	:	08/03/2022

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Directions to “ SUNNY SUN-YOUNG CHO LMFT” Practice Location

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