Provider Demographics
NPI:1053727529
Name:CHO, EUNICE H (DPM)
Entity type:Individual
Prefix:
First Name:EUNICE
Middle Name:H
Last Name:CHO
Suffix:
Gender:F
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Mailing Address - Street 1:6000 FAIRWAY DR STE 18
Mailing Address - Street 2:
Mailing Address - City:ROCKLIN
Mailing Address - State:CA
Mailing Address - Zip Code:95677-4246
Mailing Address - Country:US
Mailing Address - Phone:916-435-5200
Mailing Address - Fax:916-435-5231
Practice Address - Street 1:6000 FAIRWAY DR STE 18
Practice Address - Street 2:
Practice Address - City:ROCKLIN
Practice Address - State:CA
Practice Address - Zip Code:95677
Practice Address - Country:US
Practice Address - Phone:916-435-5200
Practice Address - Fax:916-435-5231
Is Sole Proprietor?:No
Enumeration Date:2014-07-06
Last Update Date:2018-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAE5448213ES0103X
CAEL6844213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery