Provider Demographics
NPI:1578228722
Name:HO, THAO L (FNP)
Entity Type:Individual
Prefix:
First Name:THAO
Middle Name:L
Last Name:HO
Suffix:
Gender:F
Credentials:FNP
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Mailing Address - Street 1:1521 E BALDWIN AVE
Mailing Address - Street 2:
Mailing Address - City:ORANGE
Mailing Address - State:CA
Mailing Address - Zip Code:92865-1502
Mailing Address - Country:US
Mailing Address - Phone:714-391-3296
Mailing Address - Fax:
Practice Address - Street 1:11180 WARNER AVE STE 353
Practice Address - Street 2:
Practice Address - City:FOUNTAIN VALLEY
Practice Address - State:CA
Practice Address - Zip Code:92708-7516
Practice Address - Country:US
Practice Address - Phone:714-968-6789
Practice Address - Fax:714-202-2626
Is Sole Proprietor?:No
Enumeration Date:2021-11-03
Last Update Date:2023-01-20
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CA95018921207Q00000X, 363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine