Provider Demographics
NPI:1437787009
Name:KIM, CHO ROK (MD)
Entity Type:Individual
Prefix:DR
First Name:CHO ROK
Middle Name:
Last Name:KIM
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3333 SKYPARK DR STE 100
Mailing Address - Street 2:
Mailing Address - City:TORRANCE
Mailing Address - State:CA
Mailing Address - Zip Code:90505-5034
Mailing Address - Country:US
Mailing Address - Phone:310-784-6300
Mailing Address - Fax:310-891-6758
Practice Address - Street 1:3333 SKYPARK DR STE 100
Practice Address - Street 2:
Practice Address - City:TORRANCE
Practice Address - State:CA
Practice Address - Zip Code:90505-5034
Practice Address - Country:US
Practice Address - Phone:310-784-6300
Practice Address - Fax:310-891-6758
Is Sole Proprietor?:No
Enumeration Date:2020-03-30
Last Update Date:2024-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA183331207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine