Provider Demographics
NPI:1639267461
Name:CHO, VICTORIA HYOUNBOK (LAC, PHD)
Entity Type:Individual
Prefix:DR
First Name:VICTORIA
Middle Name:HYOUNBOK
Last Name:CHO
Suffix:
Gender:F
Credentials:LAC, PHD
Other - Prefix:
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Mailing Address - Street 1:2820 SEPULVEDA BLVD
Mailing Address - Street 2:
Mailing Address - City:TORRANCE
Mailing Address - State:CA
Mailing Address - Zip Code:90505-2803
Mailing Address - Country:US
Mailing Address - Phone:310-325-8500
Mailing Address - Fax:310-325-8502
Practice Address - Street 1:2820 SEPULVEDA BLVD
Practice Address - Street 2:
Practice Address - City:TORRANCE
Practice Address - State:CA
Practice Address - Zip Code:90505-2803
Practice Address - Country:US
Practice Address - Phone:310-325-8500
Practice Address - Fax:310-325-8502
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAC7350171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist