Individual
MIRIAM CHO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D
Contact information
Practice address
7117 BROCKTON AVE, RIVERSIDE, CA 92506-2658
(951) 782-3616
(951) 784-3268
Mailing address
7117 BROCKTON AVE, RIVERSIDE, CA 92506-2658
(951) 782-3616
(951) 784-3268
Taxonomy
Speciality
Code
Description
License number
State
207QG0300X
Geriatric Medicine (Family Medicine) Physician
Primary
A99950
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A99950
LICENSE
CA
01
—
ZZZ31887Z
SITE PTAN
CA
Enumeration date
04/30/2007
Last updated
04/11/2025
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