Provider Demographics
NPI:1578535001
Name:CHO, JAE SUNG (MD)
Entity Type:Individual
Prefix:DR
First Name:JAE
Middle Name:SUNG
Last Name:CHO
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:236 SAN JOSE ST
Mailing Address - Street 2:
Mailing Address - City:SALINAS
Mailing Address - State:CA
Mailing Address - Zip Code:93901-3901
Mailing Address - Country:US
Mailing Address - Phone:831-424-7389
Mailing Address - Fax:831-424-3027
Practice Address - Street 1:11100 EUCLID AVE STE 1800
Practice Address - Street 2:
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44106-1716
Practice Address - Country:US
Practice Address - Phone:216-844-3013
Practice Address - Fax:216-844-7716
Is Sole Proprietor?:No
Enumeration Date:2006-02-07
Last Update Date:2020-12-30
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Provider Licenses
StateLicense IDTaxonomies
CAG864082086S0129X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2086S0129XAllopathic & Osteopathic PhysiciansSurgeryVascular Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
ILG36332Medicare UPIN