Provider Demographics
NPI:1578501714
Name:HO, HAREL A (MD)
Entity Type:Individual
Prefix:
First Name:HAREL
Middle Name:A
Last Name:HO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:880 S ATLANTIC BLVD
Mailing Address - Street 2:#302
Mailing Address - City:MONTEREY PARK
Mailing Address - State:CA
Mailing Address - Zip Code:91754-4700
Mailing Address - Country:US
Mailing Address - Phone:626-281-8835
Mailing Address - Fax:626-281-1526
Practice Address - Street 1:880 S ATLANTIC BLVD
Practice Address - Street 2:#302
Practice Address - City:MONTEREY PARK
Practice Address - State:CA
Practice Address - Zip Code:91754-4700
Practice Address - Country:US
Practice Address - Phone:626-281-8835
Practice Address - Fax:626-281-1526
Is Sole Proprietor?:No
Enumeration Date:2006-06-02
Last Update Date:2014-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA60917207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00A609170Medicaid
CAG89647Medicare UPIN