Individual provider Active NPI

Eunjin Cho, L.AC.

  • Acupuncturist
  • Buena Park, CA
National Provider Identifier
1902083256
Registry record updated Jan 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AC11530 Issued in CA
Practice address
6242 Beach Blvd
Unit B
Buena Park, CA 90621-2399
Phone
(714) 523-2780
Fax
(714) 523-2781
NPI assigned
Jan 29, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X AC11530 CA Primary

Addresses

Primary practice location

6242 Beach Blvd
Unit B
Buena Park, CA 90621-2399

Mailing address

6242 Beach Blvd
Unit B
Buena Park, CA 90621-2399
Phone (714) 523-2780

Other names 1

  • Eunjin Song Cho Other name

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

LicenseStateTypeSpecialty
AC11530CAMDAcupuncturist

NPI Registry JSON

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

{
    "created_epoch": "1201564800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1201564800000",
    "number": "1902083256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6242 BEACH BLVD",
            "address_2": "UNIT B",
            "city": "BUENA PARK",
            "state": "CA",
            "postal_code": "906212399",
            "telephone_number": "714-523-2780",
            "fax_number": "714-523-2781"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6242 BEACH BLVD",
            "address_2": "UNIT B",
            "city": "BUENA PARK",
            "state": "CA",
            "postal_code": "906212399",
            "telephone_number": "714-523-2780",
            "fax_number": "714-523-2781"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHO",
        "first_name": "EUNJIN",
        "credential": "L.AC.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-01-29",
        "last_updated": "2008-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "AC11530",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "EUNJIN",
            "last_name": "SONG CHO",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Buena Park, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2008; 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.