Provider Demographics
NPI:1750495818
Name:HO, THANH XUAN (PHD)
Entity Type:Individual
Prefix:DR
First Name:THANH
Middle Name:XUAN
Last Name:HO
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:524 FIRESTONE LN
Mailing Address - Street 2:
Mailing Address - City:PLACENTIA
Mailing Address - State:CA
Mailing Address - Zip Code:92870-5240
Mailing Address - Country:US
Mailing Address - Phone:714-985-0459
Mailing Address - Fax:
Practice Address - Street 1:524 FIRESTONE LN
Practice Address - Street 2:
Practice Address - City:PLACENTIA
Practice Address - State:CA
Practice Address - Zip Code:92870-5240
Practice Address - Country:US
Practice Address - Phone:714-985-0459
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-08-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist