Provider Demographics
NPI:1659061620
Name:CHO, YONG HUN (DMD)
Entity type:Individual
Prefix:
First Name:YONG HUN
Middle Name:
Last Name:CHO
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9810 MIRA LEE WAY APT 17502
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92126-4730
Mailing Address - Country:US
Mailing Address - Phone:213-200-6636
Mailing Address - Fax:
Practice Address - Street 1:11612 SOLAIRE WAY
Practice Address - Street 2:
Practice Address - City:CHINO
Practice Address - State:CA
Practice Address - Zip Code:91710-7227
Practice Address - Country:US
Practice Address - Phone:213-200-6366
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-05-11
Last Update Date:2025-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA1120731223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice