Provider Demographics
NPI:1922117563
Name:CHO, SEH HOON (DC)
Entity type:Individual
Prefix:
First Name:SEH
Middle Name:HOON
Last Name:CHO
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:301 S WESTERN AVE
Mailing Address - Street 2:STE 208
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90020-3831
Mailing Address - Country:US
Mailing Address - Phone:213-384-1042
Mailing Address - Fax:213-384-1043
Practice Address - Street 1:301 S WESTERN AVE
Practice Address - Street 2:STE 208
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90020-3831
Practice Address - Country:US
Practice Address - Phone:213-384-1042
Practice Address - Fax:213-384-1043
Is Sole Proprietor?:No
Enumeration Date:2006-08-29
Last Update Date:2013-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC17652111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAU83580Medicare UPIN