Provider Demographics
NPI:1528291234
Name:CHO, JOSEPH (LAC)
Entity type:Individual
Prefix:
First Name:JOSEPH
Middle Name:
Last Name:CHO
Suffix:
Gender:M
Credentials:LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:716 YARMOUTH RD
Mailing Address - Street 2:SUITE 104
Mailing Address - City:PALOS VERDES ESTATES
Mailing Address - State:CA
Mailing Address - Zip Code:90274-2675
Mailing Address - Country:US
Mailing Address - Phone:310-707-1298
Mailing Address - Fax:
Practice Address - Street 1:716 YARMOUTH RD
Practice Address - Street 2:SUITE 104
Practice Address - City:PALOS VERDES ESTATES
Practice Address - State:CA
Practice Address - Zip Code:90274-2675
Practice Address - Country:US
Practice Address - Phone:310-707-1298
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-08-27
Last Update Date:2009-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
13101171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist