Provider Demographics
NPI:1285923219
Name:CHO, WON
Entity type:Individual
Prefix:
First Name:WON
Middle Name:
Last Name:CHO
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3300 E SOUTH ST STE 303
Mailing Address - Street 2:
Mailing Address - City:LAKEWOOD
Mailing Address - State:CA
Mailing Address - Zip Code:90805-4594
Mailing Address - Country:US
Mailing Address - Phone:714-321-1682
Mailing Address - Fax:714-752-5599
Practice Address - Street 1:3300 E SOUTH ST STE 303
Practice Address - Street 2:
Practice Address - City:LAKEWOOD
Practice Address - State:CA
Practice Address - Zip Code:90805-4594
Practice Address - Country:US
Practice Address - Phone:714-321-1682
Practice Address - Fax:714-752-5599
Is Sole Proprietor?:Yes
Enumeration Date:2011-03-30
Last Update Date:2023-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAC13629171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist