Provider Demographics
NPI:1669900221
Name:CHO, ELIZABETH (MD MPH)
Entity type:Individual
Prefix:
First Name:ELIZABETH
Middle Name:
Last Name:CHO
Suffix:
Gender:F
Credentials:MD MPH
Other - Prefix:
Other - First Name:ELIZABETH
Other - Middle Name:
Other - Last Name:SUH
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:16111 PLUMMER ST BLDG 200
Mailing Address - Street 2:
Mailing Address - City:NORTH HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:91343-2036
Mailing Address - Country:US
Mailing Address - Phone:818-891-7711
Mailing Address - Fax:818-895-9546
Practice Address - Street 1:16111 PLUMMER ST BLDG 200
Practice Address - Street 2:
Practice Address - City:NORTH HILLS
Practice Address - State:CA
Practice Address - Zip Code:91343-2036
Practice Address - Country:US
Practice Address - Phone:818-891-7711
Practice Address - Fax:818-895-9546
Is Sole Proprietor?:Yes
Enumeration Date:2017-05-26
Last Update Date:2023-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA158533207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty