Individual
MINO CHOUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
11301 WILSHIRE BLVD BLDG 402, LOS ANGELES, CA 90073-1003
(310) 478-3711
Mailing address
26328 MITCHELL PL, STEVENSON RANCH, CA 91381-1139
(747) 266-7915
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
95031009
CA
Other
Enumeration date
07/26/2024
Last updated
07/26/2024
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