Provider Demographics
NPI:1497808950
Name:HO, COTY P (MD)
Entity Type:Individual
Prefix:DR
First Name:COTY
Middle Name:P
Last Name:HO
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Gender:M
Credentials:MD
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Mailing Address - Street 1:1180 N INDIAN CANYON DR
Mailing Address - Street 2:STE E218
Mailing Address - City:PALM SPRINGS
Mailing Address - State:CA
Mailing Address - Zip Code:92262-4800
Mailing Address - Country:US
Mailing Address - Phone:760-416-4749
Mailing Address - Fax:760-416-4903
Practice Address - Street 1:1180 N INDIAN CANYON DR
Practice Address - Street 2:STE E218
Practice Address - City:PALM SPRINGS
Practice Address - State:CA
Practice Address - Zip Code:92262-4800
Practice Address - Country:US
Practice Address - Phone:760-416-4749
Practice Address - Fax:760-416-4903
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-19
Last Update Date:2016-06-05
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Provider Licenses
StateLicense IDTaxonomies
OK28280207RX0202X, 207RX0202X
CABH6437075207RX0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RX0202XAllopathic & Osteopathic PhysiciansInternal MedicineMedical Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
OK200341760AMedicaid