Provider Demographics
NPI:1851928154
Name:HO, CAROLYN ANH (MD/MPH)
Entity Type:Individual
Prefix:
First Name:CAROLYN
Middle Name:ANH
Last Name:HO
Suffix:
Gender:F
Credentials:MD/MPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:651 1ST ST W STE H
Mailing Address - Street 2:
Mailing Address - City:SONOMA
Mailing Address - State:CA
Mailing Address - Zip Code:95476-7046
Mailing Address - Country:US
Mailing Address - Phone:707-938-3870
Mailing Address - Fax:
Practice Address - Street 1:651 1ST ST W STE H
Practice Address - Street 2:
Practice Address - City:SONOMA
Practice Address - State:CA
Practice Address - Zip Code:95476-7046
Practice Address - Country:US
Practice Address - Phone:707-938-3870
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-03-25
Last Update Date:2023-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA180913207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine