MEDICARE: TIMOTHY C. HO, DPM, INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	213EP0504X	Public Medicine Podiatrist	E-4451	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1558398065
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TIMOTHY C. HO, DPM, INC.

Provider Business Mailing Address
First Line	:	3150 ALMADEN EXPRESSWAY
Second Line	:	SUITE 231A
City	:	SAN JOSE
State	:	CA
Zip	:	95118-1250
Country	:	US
Telephone Number	:	408-445-0128
Fax Number	:	408-445-0129

Provider Business Practice Location Address
First Line	:	3150 ALMADEN EXPRESSWAY
Second Line	:	SUITE 231A
City	:	SAN JOSE
State	:	CA
Zip	:	95118-1250
Country	:	US
Telephone Number	:	408-445-0128
Fax Number	:	408-445-0129

Authorized Official
Title or Position	:	OWNER
Name	:	DR. TIMOTHY CHRISTIAN HO
Credential	:	D.P.M.
Telephone Number	:	408-445-0128

Provider Enumeration Date	:	06/28/2006
Last Update Date	:	08/22/2020

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