Provider Demographics
NPI:1942901566
Name:BON H CHO PHD ACUPUNCTURE PROF CORP
Entity Type:Organization
Organization Name:BON H CHO PHD ACUPUNCTURE PROF CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR OF ORIENTAL MEDICINE
Authorized Official - Prefix:DR
Authorized Official - First Name:BON
Authorized Official - Middle Name:H
Authorized Official - Last Name:CHO
Authorized Official - Suffix:
Authorized Official - Credentials:LAC, PHD
Authorized Official - Phone:310-713-3233
Mailing Address - Street 1:12304 SANTA MONICA BLVD STE 223
Mailing Address - Street 2:
Mailing Address - City:W LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90025-2587
Mailing Address - Country:US
Mailing Address - Phone:310-268-0268
Mailing Address - Fax:310-207-1588
Practice Address - Street 1:12304 SANTA MONICA BLVD STE 223
Practice Address - Street 2:
Practice Address - City:W LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90025-2587
Practice Address - Country:US
Practice Address - Phone:310-268-0268
Practice Address - Fax:310-207-1588
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-03-10
Last Update Date:2023-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty