Provider Demographics
NPI:1659430536
Name:CHO, YOUNG IHL (AC)
Entity Type:Individual
Prefix:MR
First Name:YOUNG
Middle Name:IHL
Last Name:CHO
Suffix:
Gender:M
Credentials:AC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:329 N WESTERN AVE
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90004-2601
Mailing Address - Country:US
Mailing Address - Phone:323-469-5522
Mailing Address - Fax:323-469-8475
Practice Address - Street 1:329 N WESTERN AVE
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90004-2601
Practice Address - Country:US
Practice Address - Phone:323-469-5522
Practice Address - Fax:323-469-8475
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAC1143171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist