MEDICARE: DR. PAZRICA M. CHO I 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	207R00000X	Internal Medicine Physician	A52259	CA

General Provider Information

NPI Number	:	1770693095
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. PAZRICA M. CHO I M.D.

Provider Business Mailing Address
First Line	:	12660 RIVERSIDE DR STE 110
Second Line	:
City	:	VALLEY VILLAGE
State	:	CA
Zip	:	91607-3430
Country	:	US
Telephone Number	:	818-761-1800
Fax Number	:	818-761-1811

Provider Business Practice Location Address
First Line	:	12660 RIVERSIDE DR
Second Line	:	SUITE 110
City	:	VALLEY VILLAGE
State	:	CA
Zip	:	91607-3429
Country	:	US
Telephone Number	:	818-761-1800
Fax Number	:	818-761-1811

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

Provider Enumeration Date	:	08/30/2006
Last Update Date	:	02/23/2012

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