DR. JEONGHO ROH (NPI# 1689860785) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689860785 |
| Entity Type | Individual |
| Full Name | DR. JEONGHO ROH |
| Credential | D.C. |
| Practice Address |
18726 S Western Ave Suite 402 Gardena CA 90248-3813 |
| Practice Telephone | 3102187634 |
| Practice Fax Number | 3104003059 |
| Mailing Telephone | 3102187634 |
| Mailing Fax Number | 3104003059 |
| Enumeration Date | 2007-09-21 |
| Last Update Date | 2013-07-01 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | DC25267 | CA | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | STATE LICENSE | DC25267 | 01 |
| Street Address |
18726 S WESTERN AVE SUITE 402 |
| City | GARDENA |
| State | CA |
| Zip Code | 90248-3813 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275133258 | Jacqueline Mendoza | Behavioral Analyst | 18726 S Western Ave, Gardena, CA 90248-3813 | 2020-10-28 |
| 1750916748 | Cassandra Nathalie Torres | Behavioral Analyst | 18726 S Western Ave, Gardena, CA 90248-3813 | 2020-03-10 |
| 1336774017 | Emily Sheets | Behavioral Analyst | 18726 S Western Ave, Gardena, CA 90248-3813 | 2020-03-03 |
| 1013578079 | Cristina Franco | Behavioral Analyst | 18726 S Western Ave, Gardena, CA 90248-3813 | 2019-06-21 |
| 1003476243 | Mark Vincenzo Crevelli | Behavioral Analyst | 18726 S Western Ave, Gardena, CA 90248-3813 | 2019-06-19 |
| 1396305603 | Amber Ann Denault | Behavioral Analyst | 18726 S Western Ave, Gardena, CA 90248-3813 | 2019-06-18 |
| 1598226755 | Melissa Saameh Ibrahim | Behavioral Analyst | 18726 S Western Ave, Gardena, CA 90248-3813 | 2019-03-28 |
| 1871065011 | Sofia Alexandra Garcia | Behavior Technician | 18726 S Western Ave, Gardena, CA 90248-3813 | 2018-12-28 |
| 1750853917 | Yumiry Kamigawara | Behavior Technician | 18726 S Western Ave, Gardena, CA 90248-3813 | 2018-12-27 |
| 1437634086 | Vanessa Cardona Gomez | Behavioral Analyst | 18726 S Western Ave, Gardena, CA 90248-3813 | 2018-09-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215537543 | Gereine Mae Condino Datan | Nurse Practitioner | 500 W 190 St, Gardena, CA 90248 | 2020-10-27 |
| 1154811297 | Patrick Lee | Technician/Technologist | 18203 S. Western Ave Ste. 102, Torrance, CA 90248 | 2018-05-15 |
| 1386152445 | Ariana Felicitas Nieves | Behavioral Analyst | 870 W 190th St Ste 400, Gardena, CA 90248 | 2018-01-11 |
| 1265949606 | Jessica Keller | Behavioral Analyst | 879 W 190th St Suite 400, Gardena, CA 90248 | 2018-01-08 |
| 1265941199 | Jaimee E Munson | Behavioral Analyst | 18726 S. Western Ave St, #408, Gardena, CA 90248 | 2017-09-22 |
| 1922467349 | Fred Jefferson Memorial Homes | Substance Abuse Rehabilitation Facility | 152 W. Walnut, Suite 150, Gardena, CA 90248 | 2016-02-12 |
| 1922427442 | Shana Reilly | Behavioral Analyst | 18726 S. Western Ave., Suite 408, Los Angeles, CA 90248 | 2014-04-11 |
| 1588002216 | Aacres Ca, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 19300 S. Hamilton Ave, Ste 130, Gardena, CA 90248 | 2013-06-04 |
| 1093057598 | Aids Health Foundation | Pharmacist | 19300 S. Hamilton Ave., Ste 170, Gardena, CA 90248 | 2013-03-22 |
| 1245576594 | Hye Mi Kim | Behavioral Analyst | 18726 S. Western Ave.,#408, Gardena, CA 90248 | 2012-12-13 |
| Find all providers in zip 90248 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851953665 | Milton Paul Secord Sr. | Chiropractor | 15406 Crenshaw Blvd, Gardena, CA 90249-4524 | 2019-07-01 |
| 1821518085 | Jin Taek Limb | Chiropractor | 2911 W 135th Pl, Gardena, CA 90249 | 2017-06-20 |
| 1215365911 | Malone Health and Fitness | Chiropractor | 17510 S Broadway, Unit D, Gardena, CA 90248-3501 | 2013-10-16 |
| 1508191842 | David F Yoshida Dc A Chiropractic Corporation | Chiropractor | 1743 W. 162nd Street, Gardena, CA 90247-3782 | 2009-10-05 |
| 1073737516 | Stephen Kiyoshi Nakano | Chiropractor | 1808 W 152nd St, Gardena, CA 90249-4202 | 2007-04-13 |
| 1831217041 | Miles Watanabe | Chiropractor | 1045 W Redondo Beach Blvd Ste 575, Gardena, CA 90247-4191 | 2007-03-26 |
| 1750407987 | David F Yoshida | Chiropractor | 1743 W 162nd St, Gardena, CA 90247-3782 | 2007-03-21 |
| 1215078316 | Robert Yuichi Oishi | Chiropractor | 16801 S Western Ave Ste B, Gardena, CA 90247-5246 | 2007-02-09 |
| 1245244623 | Laurie Yuko Hirokane | Chiropractor | 15209 S Western Ave, Gardena, CA 90249 | 2006-07-28 |
| 1710901657 | Thomas Anthony Ontiveros | Chiropractor | 1515 W 190th St, Ste 510, Gardena, CA 90248-4933 | 2006-07-26 |
| Find all providers in GARDENA | ||||
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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.