MEDICARE: DR. JAMES CHO

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	1223G0001X	General Practice Dentistry	36072	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1962549766
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JAMES CHO

Provider Business Mailing Address
First Line	:	PO BOX 8872
Second Line	:
City	:	NEWPORT BEACH
State	:	CA
Zip	:	92658-8872
Country	:	US
Telephone Number	:
Fax Number	:	323-249-7565

Provider Business Practice Location Address
First Line	:	2156 E LINCOLN AVE
Second Line	:
City	:	ANAHEIM
State	:	CA
Zip	:	92806-4104
Country	:	US
Telephone Number	:	323-564-2444
Fax Number	:	323-249-7565

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

Provider Enumeration Date	:	01/31/2007
Last Update Date	:	07/09/2007

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Directions to “ DR. JAMES CHO ” Practice Location

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