Provider Demographics
NPI:1659329316
Name:CHO, JOSHUA HAN (DC)
Entity Type:Individual
Prefix:
First Name:JOSHUA
Middle Name:HAN
Last Name:CHO
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4055 WILSHIRE BLVD
Mailing Address - Street 2:STE 319
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90010-3450
Mailing Address - Country:US
Mailing Address - Phone:213-700-5810
Mailing Address - Fax:714-224-7688
Practice Address - Street 1:4055 WILSHIRE BLVD
Practice Address - Street 2:STE 319
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90010-3450
Practice Address - Country:US
Practice Address - Phone:213-700-5810
Practice Address - Fax:714-224-7688
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-05
Last Update Date:2016-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC27731111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
CADC27731OtherCA LICENSE