Provider Demographics
NPI:1609820083
Name:HO, CHEE K (DO)
Entity Type:Individual
Prefix:DR
First Name:CHEE
Middle Name:K
Last Name:HO
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:24801 SOLANO CT
Mailing Address - Street 2:
Mailing Address - City:LAGUNA HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:92653-5663
Mailing Address - Country:US
Mailing Address - Phone:949-305-8360
Mailing Address - Fax:949-305-8363
Practice Address - Street 1:24953 PASEO DE VALENCIA
Practice Address - Street 2:16B
Practice Address - City:LAGUNA HILLS
Practice Address - State:CA
Practice Address - Zip Code:92653-4342
Practice Address - Country:US
Practice Address - Phone:949-305-8360
Practice Address - Fax:949-305-8363
Is Sole Proprietor?:No
Enumeration Date:2006-05-20
Last Update Date:2019-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA20A5082207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00AX50820Medicaid
080167000OtherRAILROAD MEDICARE
F01221Medicare UPIN
20A5082Medicare ID - Type Unspecified