Provider Demographics
NPI:1073663969
Name:CHO, JEAN (PA-C)
Entity Type:Individual
Prefix:MS
First Name:JEAN
Middle Name:
Last Name:CHO
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
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Mailing Address - Street 1:1691 THE ALAMEDA
Mailing Address - Street 2:
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95126-2203
Mailing Address - Country:US
Mailing Address - Phone:408-975-3619
Mailing Address - Fax:408-287-0405
Practice Address - Street 1:604 E EVELYN AVE
Practice Address - Street 2:
Practice Address - City:SUNNYVALE
Practice Address - State:CA
Practice Address - Zip Code:94086-6459
Practice Address - Country:US
Practice Address - Phone:408-739-5151
Practice Address - Fax:408-992-0627
Is Sole Proprietor?:No
Enumeration Date:2007-01-11
Last Update Date:2009-07-27
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CA18479363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant