Provider Demographics
NPI:1225072481
Name:CHO, ANDREW S (MD)
Entity Type:Individual
Prefix:DR
First Name:ANDREW
Middle Name:S
Last Name:CHO
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:4220 W 3RD ST
Mailing Address - Street 2:SUITE 206
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90020-3450
Mailing Address - Country:US
Mailing Address - Phone:213-380-8800
Mailing Address - Fax:213-381-7474
Practice Address - Street 1:4220 W 3RD ST
Practice Address - Street 2:SUITE 206
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90020-3450
Practice Address - Country:US
Practice Address - Phone:213-380-8800
Practice Address - Fax:213-381-7474
Is Sole Proprietor?:No
Enumeration Date:2006-06-16
Last Update Date:2011-10-06
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAA61194207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00A611940Medicaid
CAG90976Medicare UPIN
CA00A611940Medicaid