Provider Demographics
NPI:1538757398
Name:CHO, DANIEL T (PHARMD)
Entity type:Individual
Prefix:
First Name:DANIEL
Middle Name:T
Last Name:CHO
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7702 HIGHBROOK WAY
Mailing Address - Street 2:
Mailing Address - City:STANTON
Mailing Address - State:CA
Mailing Address - Zip Code:90680-4036
Mailing Address - Country:US
Mailing Address - Phone:562-483-3345
Mailing Address - Fax:
Practice Address - Street 1:5399 W CENTINELA AVE
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90045-2003
Practice Address - Country:US
Practice Address - Phone:310-670-3335
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-01-07
Last Update Date:2023-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA83728183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist