MEDICARE: DR. ANDREW SOOHYONG CHO D.C.

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	111N00000X	Chiropractor	30617	CA

General Provider Information

NPI Number	:	1760676241
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ANDREW SOOHYONG CHO D.C.

Provider Business Mailing Address
First Line	:	1260 HAMNER AVE STE E
Second Line	:
City	:	NORCO
State	:	CA
Zip	:	92860-3136
Country	:	US
Telephone Number	:	951-808-8320
Fax Number	:	951-808-8313

Provider Business Practice Location Address
First Line	:	1260 HAMNER AVE STE E
Second Line	:
City	:	NORCO
State	:	CA
Zip	:	92860-3136
Country	:	US
Telephone Number	:	951-808-8320
Fax Number	:	951-808-8313

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

Provider Enumeration Date	:	08/28/2007
Last Update Date	:	08/28/2007

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