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NPI Code Detail

MEDICARE: MR. GIN QUAN HO

MEDICARE: MR. GIN QUAN HO
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
1101YA0400XAddiction (Substance Use Disorder) Counselor

General Provider Information

NPI Number : 1639237985
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. GIN QUAN HO
Provider Business Mailing Address
First Line : 140 E CALLE LAURELES
Second Line :
City : SANTA BARBARA
State : CA
Zip : 93105-2710
Country : US
Telephone Number : 805-637-4651
Fax Number :
Provider Business Practice Location Address
First Line : 107 E MICHELTORENA ST
Second Line :
City : SANTA BARBARA
State : CA
Zip : 93101-1905
Country : US
Telephone Number : 805-965-3434
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/05/2006
Last Update Date : 07/08/2007

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