Organization
GLENDALE SURGICAL ASSOCIATES
Active
Other names
Pacific Coast OMS
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NAM CHO M.D., D.D.S. (PARTNER/OWNER)
(206) 356-0449
Entity
Organization
Contact information
Practice address
1146 N BRAND BLVD, GLENDALE, CA 91202-2504
(818) 241-4217
Mailing address
221 E GLENOAKS BLVD, SUITE #140, GLENDALE, CA 91207
(818) 241-4217
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
37945
CA
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
OMS71
CA
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
OMS94
CA
Other
Enumeration date
07/15/2008
Last updated
04/20/2018
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