Provider Demographics
NPI:1225309875
Name:CHO, JAEHOON (MD)
Entity Type:Individual
Prefix:DR
First Name:JAEHOON
Middle Name:
Last Name:CHO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:10800 MAGNOLIA AVE
Mailing Address - Street 2:KP NEUROLOGY DEPARTMENT MODULE 416
Mailing Address - City:RIVERSIDE
Mailing Address - State:CA
Mailing Address - Zip Code:92505
Mailing Address - Country:US
Mailing Address - Phone:833-574-2273
Mailing Address - Fax:
Practice Address - Street 1:3833 COON RAPIDS BLVD NW STE 100
Practice Address - Street 2:
Practice Address - City:COON RAPIDS
Practice Address - State:MN
Practice Address - Zip Code:55433-2697
Practice Address - Country:US
Practice Address - Phone:763-427-8320
Practice Address - Fax:763-302-4338
Is Sole Proprietor?:Yes
Enumeration Date:2012-01-12
Last Update Date:2021-11-01
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MN600332084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology