Ahra Cho M D Inc | |
2727 W Olympic Blvd Ste 205 Los Angeles CA 90006-2640 | |
(213) 529-4251 | |
(213) 529-4250 |
Full Name | Ahra Cho M D Inc |
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Speciality | Clinic/Center |
Location | 2727 W Olympic Blvd Ste 205, Los Angeles, California |
Authorized Official Name and Position | Ahra Cho (PRESIDENT) |
Authorized Official Contact | 2135294251 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Ahra Cho M D Inc 2727 W Olympic Blvd Ste 205 Los Angeles CA 90006-2640 Ph: (213) 529-4251 | Ahra Cho M D Inc 2727 W Olympic Blvd Ste 205 Los Angeles CA 90006-2640 Ph: (213) 529-4251 |
NPI Number | 1972081412 |
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Provider Enumeration Date | 08/06/2018 |
Last Update Date | 04/02/2024 |
Medicare PECOS PAC ID | 3476897174 |
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Medicare Enrollment ID | O20181206003042 |
Identifier | Type | State | Issuer |
---|---|---|---|
1972081412 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RG0300X | Internal Medicine - Geriatric Medicine | (* (Not Available)) | Secondary |
261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
Provider Name | Ahra Cho |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1902051659 PECOS PAC ID: 3870768534 Enrollment ID: I20111207000434 |
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