Provider Demographics
NPI:1053387423
Name:CHO, JOHN S (MD)
Entity type:Individual
Prefix:
First Name:JOHN
Middle Name:S
Last Name:CHO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 3629
Mailing Address - Street 2:
Mailing Address - City:RANCHO CUCAMONGA
Mailing Address - State:CA
Mailing Address - Zip Code:91729-3629
Mailing Address - Country:US
Mailing Address - Phone:909-475-0475
Mailing Address - Fax:877-589-0666
Practice Address - Street 1:9681 BUSINESS CENTER DR STE C
Practice Address - Street 2:
Practice Address - City:RANCHO CUCAMONGA
Practice Address - State:CA
Practice Address - Zip Code:91730-4579
Practice Address - Country:US
Practice Address - Phone:909-475-0475
Practice Address - Fax:877-589-0666
Is Sole Proprietor?:No
Enumeration Date:2006-02-27
Last Update Date:2020-04-28
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAA67584207LP2900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207LP2900XAllopathic & Osteopathic PhysiciansAnesthesiologyPain Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
H98255Medicare UPIN
CAZZZ27517ZMedicare PIN
CAZZZ32322ZMedicare PIN