Provider Demographics
NPI:1447330394
Name:CHO, YOON J (MD)
Entity type:Individual
Prefix:
First Name:YOON
Middle Name:J
Last Name:CHO
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2344 EL CAMINO REAL
Mailing Address - Street 2:105
Mailing Address - City:SANTA CLARA
Mailing Address - State:CA
Mailing Address - Zip Code:95050-4072
Mailing Address - Country:US
Mailing Address - Phone:408-249-1212
Mailing Address - Fax:
Practice Address - Street 1:2344 EL CAMINO REAL
Practice Address - Street 2:105
Practice Address - City:SANTA CLARA
Practice Address - State:CA
Practice Address - Zip Code:95050-4072
Practice Address - Country:US
Practice Address - Phone:408-249-1212
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA054133207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAG36583Medicare UPIN