Provider Demographics
NPI:1669440988
Name:HO, JAMES CHENG-SHIN (MD)
Entity Type:Individual
Prefix:
First Name:JAMES
Middle Name:CHENG-SHIN
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 1:1330 SAN BERNARDINO RD STE G
Mailing Address - Street 2:
Mailing Address - City:UPLAND
Mailing Address - State:CA
Mailing Address - Zip Code:91786-4980
Mailing Address - Country:US
Mailing Address - Phone:909-755-0622
Mailing Address - Fax:909-931-3627
Practice Address - Street 1:1330 SAN BERNARDINO RD STE G
Practice Address - Street 2:
Practice Address - City:UPLAND
Practice Address - State:CA
Practice Address - Zip Code:91786-4980
Practice Address - Country:US
Practice Address - Phone:909-755-0622
Practice Address - Fax:909-931-3627
Is Sole Proprietor?:No
Enumeration Date:2006-03-11
Last Update Date:2020-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG78385207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00G783850Medicaid
CA00G783850Medicaid
CA00G783850Medicare ID - Type Unspecified