Provider Demographics
NPI:1528142924
Name:CHO, KAIKEI (MD)
Entity type:Individual
Prefix:
First Name:KAIKEI
Middle Name:
Last Name:CHO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6077 COFFEE RD
Mailing Address - Street 2:SUITE 4 PMB 98
Mailing Address - City:BAKERSFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:93308-9416
Mailing Address - Country:US
Mailing Address - Phone:661-326-6616
Mailing Address - Fax:626-236-5729
Practice Address - Street 1:2317 17TH ST
Practice Address - Street 2:
Practice Address - City:BAKERSFIELD
Practice Address - State:CA
Practice Address - Zip Code:93301-3503
Practice Address - Country:US
Practice Address - Phone:661-326-6616
Practice Address - Fax:626-236-5729
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-24
Last Update Date:2023-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY322441208M00000X
CAA64347207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No208M00000XAllopathic & Osteopathic PhysiciansHospitalist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00A643470Medicaid
CA00A643471Medicare ID - Type Unspecified
CA00A643470Medicaid