Provider Demographics
NPI:1952498784
Name:HO, JAMES T (MD)
Entity Type:Individual
Prefix:
First Name:JAMES
Middle Name:T
Last Name:HO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:3579 E FOOTHILL BLVD
Mailing Address - Street 2:#516
Mailing Address - City:PASADENA
Mailing Address - State:CA
Mailing Address - Zip Code:91107-3119
Mailing Address - Country:US
Mailing Address - Phone:626-757-4228
Mailing Address - Fax:626-293-1622
Practice Address - Street 1:3579 E FOOTHILL BLVD
Practice Address - Street 2:#516
Practice Address - City:PASADENA
Practice Address - State:CA
Practice Address - Zip Code:91107-3119
Practice Address - Country:US
Practice Address - Phone:626-757-4228
Practice Address - Fax:626-293-1622
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-05
Last Update Date:2007-07-09
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAG42784208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAA49116Medicare UPIN
CAG42784Medicare ID - Type UnspecifiedPROVIDER ID