Sung W Cho DDS, Inc

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

56070 Issued in CA

Legal business name

SUNG W CHO DDS, INC

Practice address

24515 Alessandro Blvd
Suite B
Moreno Valley, CA 92553-3917

Phone

(951) 242-4777

Fax

(951) 243-1331

NPI assigned

Aug 20, 2010

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Sung Woon Cho, D.D.S.

Title

President

Phone

(909) 557-0912

Specialties & licenses 1

Addresses

Other names 1

• Sunnymead Village Dental Group Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Phillip Sungwoon Cho, D.D.S.

  • General Practice Dentistry
  • Yucca Valley, CA
  • NPI 1114111820
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1282262400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1282262400000",
    "number": "1194031724",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24515 ALESSANDRO BLVD",
            "address_2": "SUITE B",
            "city": "MORENO VALLEY",
            "state": "CA",
            "postal_code": "925533917",
            "telephone_number": "951-242-4777",
            "fax_number": "951-243-1331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24515 ALESSANDRO BLVD",
            "address_2": "SUITE B",
            "city": "MORENO VALLEY",
            "state": "CA",
            "postal_code": "925533917",
            "telephone_number": "951-242-4777",
            "fax_number": "951-243-1331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNG W CHO DDS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-20",
        "last_updated": "2010-08-20",
        "status": "A",
        "authorized_official_last_name": "CHO",
        "authorized_official_first_name": "SUNG WOON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "909-557-0912",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "56070",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sunnymead Village Dental Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Akihiro Sugiyama, M.D.
• Angie Suh, PHARMD
• Sumilat DDS, Inc.
• Summerbreeze Congregate Living
• April Sun, MD
• Han-Lin Sung, MD
• Sunnymead Ranch Dental Center
• Sunrise Alcohol & Drugs Rehab Center
• Jithu Susan Mathew, M.D.
• Susan R. Real-Raz, DMD, Inc.

• General Practice Dentistry in Moreno Valley, CA
• Providers in Moreno Valley, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.