Individual
SOUNGMIN CHO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
521 S HAM LN STE A, LODI, CA 95242-3528
(209) 334-5886
Mailing address
521 S HAM LN STE A, LODI, CA 95242-3528
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
A180376
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/10/2020
Last updated
09/22/2024
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