Provider Demographics
NPI:1285189852
Name:HO, QUYNH
Entity Type:Individual
Prefix:MRS
First Name:QUYNH
Middle Name:
Last Name:HO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8512 WESTMINSTER BLVD
Mailing Address - Street 2:STE B
Mailing Address - City:WESTMINSTER
Mailing Address - State:CA
Mailing Address - Zip Code:92683-4600
Mailing Address - Country:US
Mailing Address - Phone:657-227-7183
Mailing Address - Fax:714-892-7700
Practice Address - Street 1:8512 WESTMINSTER BLVD
Practice Address - Street 2:STE B
Practice Address - City:WESTMINSTER
Practice Address - State:CA
Practice Address - Zip Code:92683-4600
Practice Address - Country:US
Practice Address - Phone:657-227-7183
Practice Address - Fax:714-892-7700
Is Sole Proprietor?:No
Enumeration Date:2016-08-23
Last Update Date:2016-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA343900000X172A00000X
172A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172A00000XOther Service ProvidersDriver