| Jim Cho MD Inc | |
|
41990 Cook St Suite F1001 Palm Desert CA 92211-6100 | |
| (760) 360-2502 | |
| Not Available |
| Full Name | Jim Cho MD Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 41990 Cook St, Palm Desert, California |
| Authorized Official Name and Position | Bum Song (MANAGER) |
| Authorized Official Contact | 7605748080 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jim Cho MD Inc 41990 Cook St Suite F1001 Palm Desert CA 92211-6100 Ph: (760) 360-2502 | Jim Cho MD Inc 41990 Cook St Suite F1001 Palm Desert CA 92211-6100 Ph: (760) 360-2502 |
| NPI Number | 1003091091 |
|---|---|
| Provider Enumeration Date | 01/08/2008 |
| Last Update Date | 03/22/2013 |
| Medicare PECOS PAC ID | 5294895447 |
|---|---|
| Medicare Enrollment ID | O20081118000914 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003091091 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | A68018 (California) | Primary |
| Provider Name | Hyun Myung Jim Cho |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1073658530 PECOS PAC ID: 4385704535 Enrollment ID: I20081118000913 |
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