Jae Bome Cho | Tustin, CA • PECOS Search

Jae Bome Cho

Acupuncturist

Other Service Providers

13011 Newport Ave, Ste 201, Tustin, CA 92780-3517

PECOS Enrollment

Based on the most recent information from CMS, provider Jae Bome Cho does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 4 days ago.

Profile Details

Provider ID
1376777011
Provider Type
Individual
Full Name
Cho, Jae Bome
Title
Mr.
Credential
LAC.,OMD

Gender
Male
Sole Proprietor
Yes
Enumeration Date
5/11/2009
Last Updated
3/8/2010

Contact Information

Practice Location

13011 Newport Ave, Ste 201, Tustin, CA 92780-3517

Unlisted Fax

Mailing Location

13011 Newport Ave, Ste 201, Tustin, CA 92780-3517

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 171100000X Primary	Description Acupuncturist Other Service Providers	License AC10607 California