Provider Demographics
NPI:1205833662
Name:HO, GERALD Y (MD)
Entity type:Individual
Prefix:
First Name:GERALD
Middle Name:Y
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 1:5451 LA PALMA AVE
Mailing Address - Street 2:SUITE 25
Mailing Address - City:LA PALMA
Mailing Address - State:CA
Mailing Address - Zip Code:90623-1730
Mailing Address - Country:US
Mailing Address - Phone:714-670-1340
Mailing Address - Fax:714-443-3780
Practice Address - Street 1:5451 LA PALMA AVE
Practice Address - Street 2:SUITE 25
Practice Address - City:LA PALMA
Practice Address - State:CA
Practice Address - Zip Code:90623-1730
Practice Address - Country:US
Practice Address - Phone:714-670-1340
Practice Address - Fax:714-443-3780
Is Sole Proprietor?:No
Enumeration Date:2005-06-30
Last Update Date:2024-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG67106207R00000X, 207RR0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatology
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CADA5312OtherRAILROAD MEDICARE
CAG67106OtherSTATE MEDICAL LICENSE
CA00G671060Medicaid
CADA5312OtherRAILROAD MEDICARE
CAF57678Medicare UPIN
CAWG67106DMedicare PIN
CAF57678Medicare UPIN