Individual
DR. JOHOL CHO-HONG CHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
219 N SANBORN RD, SALINAS, CA 93905-2218
(831) 757-1365
(831) 757-2824
Mailing address
PO BOX 450193, LAREDO, TX 78045-0004
(956) 795-8236
(956) 718-6994
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
DO198325
OR
207V00000X
Obstetrics & Gynecology Physician
K1389
TX
207V00000X
Obstetrics & Gynecology Physician
TL6214
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
101708906
—
TX
01
—
P00691823
PALMETTO GBA (MEDICARE RAILROAD)
TX
Enumeration date
03/29/2006
Last updated
02/19/2021
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