Basic Information
Provider Information
NPI: 1336503911
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: CHO
FirstName: STEVEN
MiddleName: NAING
NamePrefix:  
NameSuffix:  
Credential:  
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 5767 W CENTURY BLVD STE 400
Address2:  
City: LOS ANGELES
State: CA
PostalCode: 900455631
CountryCode: US
TelephoneNumber:  
FaxNumber:  
Practice Location
Address1: 3500 LOMITA BLVD STE 300
Address2:  
City: TORRANCE
State: CA
PostalCode: 905055038
CountryCode: US
TelephoneNumber: 3102570028
FaxNumber: 3102570031
Other Information
ProviderEnumerationDate: 04/08/2016
LastUpdateDate: 01/03/2020
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 01/03/2020

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207R00000XC166291CAY Allopathic & Osteopathic PhysiciansInternal Medicine 

No ID Information.


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