Provider Demographics
NPI:1114096104
Name:HO, ALINA (OD)
Entity Type:Individual
Prefix:
First Name:ALINA
Middle Name:
Last Name:HO
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:868 CAREW DR
Mailing Address - Street 2:
Mailing Address - City:PLACENTIA
Mailing Address - State:CA
Mailing Address - Zip Code:92870-4268
Mailing Address - Country:US
Mailing Address - Phone:562-489-5066
Mailing Address - Fax:
Practice Address - Street 1:1150 E ARTESIA BLVD
Practice Address - Street 2:
Practice Address - City:LONG BEACH
Practice Address - State:CA
Practice Address - Zip Code:90805-1555
Practice Address - Country:US
Practice Address - Phone:562-728-8087
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-11-06
Last Update Date:2018-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOPC 4029152W00000X
CA12809T152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL36001OtherBLUE CROSS BLUE SHEILD
FLFL4029OtherEYEMED
FL42150OtherSPECTERA