Provider Demographics
NPI:1386977841
Name:CHO, SUNG
Entity type:Individual
Prefix:DR
First Name:SUNG
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 1:1251 W REDONDO BEACH BLVD STE 101
Mailing Address - Street 2:
Mailing Address - City:GARDENA
Mailing Address - State:CA
Mailing Address - Zip Code:90247-3412
Mailing Address - Country:US
Mailing Address - Phone:310-986-2011
Mailing Address - Fax:
Practice Address - Street 1:1251 W REDONDO BEACH BLVD STE 101
Practice Address - Street 2:
Practice Address - City:GARDENA
Practice Address - State:CA
Practice Address - Zip Code:90247-3412
Practice Address - Country:US
Practice Address - Phone:310-986-2011
Practice Address - Fax:866-646-0188
Is Sole Proprietor?:Yes
Enumeration Date:2009-09-15
Last Update Date:2023-05-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAC13316171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist