Provider Demographics
NPI:1245400282
Name:HO - HOLZUM, CYNTHIA KAREN (RT)
Entity Type:Individual
Prefix:MS
First Name:CYNTHIA
Middle Name:KAREN
Last Name:HO - HOLZUM
Suffix:
Gender:F
Credentials:RT
Other - Prefix:MISS
Other - First Name:CYNTHIA
Other - Middle Name:KAREN
Other - Last Name:HO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:373 CARLOS AVE
Mailing Address - Street 2:
Mailing Address - City:REDWOOD CITY
Mailing Address - State:CA
Mailing Address - Zip Code:94061-3938
Mailing Address - Country:US
Mailing Address - Phone:650-568-9693
Mailing Address - Fax:
Practice Address - Street 1:3801 MIRANDA AVE
Practice Address - Street 2:
Practice Address - City:PALO ALTO
Practice Address - State:CA
Practice Address - Zip Code:94304-1207
Practice Address - Country:US
Practice Address - Phone:650-493-5000
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-03-05
Last Update Date:2008-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA4299252471C3402X
CARHT 925762471C3402X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2471C3402XTechnologists, Technicians & Other Technical Service ProvidersRadiologic TechnologistRadiography