MEDICARE: CALIFORNIA JKC NEUROLOGY MEDICAL INC

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	2084N0400X	Neurology Physician

General Provider Information

NPI Number	:	1801728225
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CALIFORNIA JKC NEUROLOGY MEDICAL INC

Provider Business Mailing Address
First Line	:	3700 WILSHIRE BLVD STE 200
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90010-2903
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3700 WILSHIRE BLVD STE 200
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90010-2903
Country	:	US
Telephone Number	:	213-487-3060
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	KYUNG KU CHO
Credential	:	MD
Telephone Number	:	213-380-0779

Provider Enumeration Date	:	06/01/2026
Last Update Date	:	06/01/2026

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