MEDICARE: MS. SOYOUNG KIM CHO N.P.

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	363LF0000X	Family Nurse Practitioner	95002724	CA

General Provider Information

NPI Number	:	1770952731
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. SOYOUNG KIM CHO N.P.

Provider Business Mailing Address
First Line	:	436 N BEDFORD DR STE 201
Second Line	:
City	:	BEVERLY HILLS
State	:	CA
Zip	:	90210-4312
Country	:	US
Telephone Number	:	310-439-8909
Fax Number	:

Provider Business Practice Location Address
First Line	:	436 N BEDFORD DR STE 201
Second Line	:
City	:	BEVERLY HILLS
State	:	CA
Zip	:	90210-4312
Country	:	US
Telephone Number	:	310-439-8909
Fax Number	:

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

Provider Enumeration Date	:	09/21/2015
Last Update Date	:	03/23/2026

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