YOUNG-SIK CHO (NPI# 1063937902) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063937902 |
| Entity Type | Individual |
| Full Name | YOUNG-SIK CHO |
| Credential | NP |
| Practice Address |
1803 S Harbor Blvd Anaheim CA 92802 |
| Mailing Address |
3595 Green Ave Los Alamitos CA 90720-3247 |
| Practice Telephone | 8663892727 |
| Enumeration Date | 2017-08-11 |
| Last Update Date | 2019-11-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
95009224 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
AP60783982 | WA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | CA BOARD OF REGISTERED NURSING | NP95009224 | 01 |
| WA | WA STATE DEPARTMENT OF HEALTH | AP60783982 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 11700 Mukilteo Speedway Ste 500, Mukilteo, WA 982755435 | 8552373348 | |
| 1344 W Redondo Beach Blvd, Gardena, CA 902473356 | 3103535726 | |
| 1660 S Columbian Way, Seattle, WA 981081532 | 2067621010 |
| Street Address |
1803 S HARBOR BLVD |
| City | ANAHEIM |
| State | CA |
| Zip Code | 92802 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588036255 | Tina Vo | Pharmacist | 1803 S Harbor Blvd, Anaheim, CA 92802-3509 | 2015-10-21 |
| 1700448768 | Alvin Keane Penuliar Alobba | Nurse Practitioner | 1803 S Harbor Blvd, Anaheim, CA 92802-3509 | 2019-06-30 |
| 1285006510 | Bichthuy Tran | Pharmacist | 1803 S Harbor Blvd, Anaheim, CA 92802-3509 | 2015-10-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811502446 | Riana Jessica Abadilla Ramos | Pharmacist | 1850 S. West Street, Anaheim, CA 92802 | 2020-09-10 |
| 1578102810 | Cristina King | Physician Assistant | 1850 S West Street, Anaheim, CA 92802 | 2020-01-03 |
| 1770009086 | Evangelina Sayre | Counselor | 535 S. Walnut St., Anaheim, CA 92802 | 2017-08-17 |
| 1962870634 | Paragon Compounding Pharmacy, Inc | Pharmacy | 1585 West Broadway Suite A, Anaheim, CA 92802 | 2015-09-11 |
| 1992118376 | Xia Li | Acupuncturist | 1640 W Ball Rd Apt 211, Anaheim, CA 92802 | 2014-06-03 |
| 1215208533 | Dyala D Nguyen | Pharmacist | 1848 S. Ninth St, Anaheim, CA 92802 | 2012-01-18 |
| 1548402597 | Tara Thuy Mai | Pharmacist | 2157 S Spinnaker St, Anaheim, CA 92802 | 2009-04-06 |
| 1710178827 | Florian Medical Clinic Inc. | Clinic/Center | 2090 S Euclid St #104, Anaheim, CA 92802 | 2007-08-05 |
| 1619192309 | Linda L. Schnaible | Marriage & Family Therapist | 1333 South Euclid Street, Anaheim, CA 92802 | 2007-04-16 |
| 1750505293 | Bt Morgan Dental Corp | Dentist | 2300 S. Harbor Blvd, Anaheim, CA 92802 | 2007-04-13 |
| Find all providers in zip 92802 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801497706 | Ana Maria Cajigas De Jesus | Nurse Practitioner | 313 S Velva Pl, Anaheim, CA 92804-2647 | 2020-11-06 |
| 1063020766 | Lysander Alto | Nurse Practitioner | 631 S Brookhurst St Ste A, Anaheim, CA 92804-3510 | 2020-07-20 |
| 1306462817 | Celia Hernandez Perez | Nurse Practitioner | 1800 W Catalpa Ave, Anaheim, CA 92801-3514 | 2020-06-20 |
| 1093341414 | Paul Joonhyuk Choi | Nurse Practitioner | 1745 N Landfair St, Anaheim, CA 92806-1109 | 2020-03-17 |
| 1710547252 | Honey G Santos | Nurse Practitioner | 313 S Vicki Ln, Anaheim, CA 92804-2031 | 2019-06-17 |
| 1396208716 | Jenn Marie C Virtudes | Nurse Practitioner | 1058 N Reiser Ct, Anaheim, CA 92801-3360 | 2019-04-11 |
| 1841773645 | Diane Chung | Nurse Practitioner | 540 S Circulo Lazo, Anaheim, CA 92807-4302 | 2018-09-08 |
| 1063990133 | Tina Shizuko Kami | Nurse Practitioner | 3356 W Ball Rd Ste 100, Anaheim, CA 92804-3727 | 2018-08-01 |
| 1093235699 | Araba Sackey | Nurse Practitioner | 1091 S Matthew Way, Anaheim, CA 92808-1459 | 2017-06-23 |
| 1518493733 | Oksana Pradun | Nurse Practitioner | 2111 East Ball Rd., Anaheim, CA 92806 | 2017-05-08 |
| Find all providers in ANAHEIM | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.