Active NPI
Sam Cho, DDS
- General Practice Dentistry
- La Mirada, CA
National Provider Identifier
1023190519
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 45440
- Practice address
- 15020 Imperial Hwy
La Mirada, CA 90638 - Phone
- (562) 902-0393
- Fax
- (562) 902-4984
- NPI assigned
- Oct 20, 2006
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 45440 | CA | Primary |
Addresses
Primary practice location
15020 Imperial Hwy
La Mirada, CA 90638
Mailing address
15020 Imperial Hwy
La Mirada, CA 90638
Phone (562) 902-0393
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 45440 | CA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161302400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1023190519",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15020 IMPERIAL HWY",
"city": "LA MIRADA",
"state": "CA",
"postal_code": "90638",
"telephone_number": "562-902-0393",
"fax_number": "562-902-4984"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15020 IMPERIAL HWY",
"city": "LA MIRADA",
"state": "CA",
"postal_code": "90638",
"telephone_number": "562-902-0393",
"fax_number": "562-902-4984"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHO",
"first_name": "SAM",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-20",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "CA",
"license": "45440",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in La Mirada, CA
- Debbie Chen-Bennett, OD
- Alexander Chen, D.O.
- Jennifer Zen Chen, O.D.
- Jannie W Cheung, PHARM D
- Childrens Happy Teeth
- Karen Choi
- Chong H Rha DDS Inc (Global Family Dentistry)
- Regina Christ, NP
- Christian Yanez Licensed Clinical Social Worker PC (Yanez Therapy- Mental Health Services)
- Nelda Luaine Christie, M.A.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.