Provider Demographics
NPI:1811050057
Name:CHO, EUGENIA YOO (LAC)
Entity type:Individual
Prefix:
First Name:EUGENIA
Middle Name:YOO
Last Name:CHO
Suffix:
Gender:F
Credentials:LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1421 MONTGOMERY DR # 4
Mailing Address - Street 2:
Mailing Address - City:SANTA ROSA
Mailing Address - State:CA
Mailing Address - Zip Code:95405-4553
Mailing Address - Country:US
Mailing Address - Phone:707-523-7579
Mailing Address - Fax:707-523-7522
Practice Address - Street 1:1421 MONTGOMERY DR # 4
Practice Address - Street 2:
Practice Address - City:SANTA ROSA
Practice Address - State:CA
Practice Address - Zip Code:95405-4553
Practice Address - Country:US
Practice Address - Phone:707-523-7579
Practice Address - Fax:707-523-7522
Is Sole Proprietor?:No
Enumeration Date:2006-12-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA6789171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist