Provider Demographics
NPI:1003929225
Name:HO, MARION KIM WAN (MD)
Entity Type:Individual
Prefix:DR
First Name:MARION
Middle Name:KIM WAN
Last Name:HO
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:6325 TOPANGA CANYON BLVD
Mailing Address - Street 2:SUITE 315
Mailing Address - City:WOODLAND HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:91367-2006
Mailing Address - Country:US
Mailing Address - Phone:818-615-2888
Mailing Address - Fax:818-615-2883
Practice Address - Street 1:6325 TOPANGA CANYON BLVD
Practice Address - Street 2:315
Practice Address - City:WOODLAND HILLS
Practice Address - State:CA
Practice Address - Zip Code:91367-2006
Practice Address - Country:US
Practice Address - Phone:818-615-2888
Practice Address - Fax:818-615-2883
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-15
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAG75129207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine