Provider Demographics
NPI:1710029657
Name:HO, CHEN NAN (MD)
Entity Type:Individual
Prefix:DR
First Name:CHEN
Middle Name:NAN
Last Name:HO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:24863 W JAYNE AVE
Mailing Address - Street 2:BOX 8500
Mailing Address - City:COALINGA
Mailing Address - State:CA
Mailing Address - Zip Code:93210-9502
Mailing Address - Country:US
Mailing Address - Phone:559-935-4900
Mailing Address - Fax:559-935-7081
Practice Address - Street 1:30979 ROAD 67
Practice Address - Street 2:
Practice Address - City:GOSHEN
Practice Address - State:CA
Practice Address - Zip Code:93291-9303
Practice Address - Country:US
Practice Address - Phone:559-651-2301
Practice Address - Fax:559-651-1584
Is Sole Proprietor?:No
Enumeration Date:2007-02-13
Last Update Date:2012-10-10
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NJ223548695207Q00000X
NY021737225100000X
CAA110971207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist