Provider Demographics
NPI:1205015625
Name:CHO, FRED KIHO (PHARMD)
Entity Type:Individual
Prefix:
First Name:FRED
Middle Name:KIHO
Last Name:CHO
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8235 E PARK TERRACE LN
Mailing Address - Street 2:
Mailing Address - City:ANAHEIM
Mailing Address - State:CA
Mailing Address - Zip Code:92808-2510
Mailing Address - Country:US
Mailing Address - Phone:714-280-1018
Mailing Address - Fax:
Practice Address - Street 1:8235 E PARK TERRACE LN
Practice Address - Street 2:
Practice Address - City:ANAHEIM
Practice Address - State:CA
Practice Address - Zip Code:92808-2510
Practice Address - Country:US
Practice Address - Phone:714-280-1018
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-11-01
Last Update Date:2007-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA43471183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist