Provider Demographics
NPI:1306461611
Name:CHO, DA HONG (CCC-SLP)
Entity type:Individual
Prefix:MRS
First Name:DA
Middle Name:HONG
Last Name:CHO
Suffix:
Gender:F
Credentials:CCC-SLP
Other - Prefix:MISS
Other - First Name:DA
Other - Middle Name:WOON
Other - Last Name:HONG
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:355 S MANSFIELD AVE
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90036-3058
Mailing Address - Country:US
Mailing Address - Phone:310-347-5812
Mailing Address - Fax:
Practice Address - Street 1:3400 W 6TH ST STE 210
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90020-2576
Practice Address - Country:US
Practice Address - Phone:213-503-4878
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-06-11
Last Update Date:2020-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA21264235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAPD3702OtherFRANK D. LANTERMAN REGIONAL CENTER
CAPD3701OtherFRANK D. LANTERMAN REGIONAL CENTER
CAPD3315OtherFRANK D. LANTERMAN REGIONAL CENTER