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NPI Code Detail

MEDICARE: DR. DOMINIC K. HO M.D.

MEDICARE: DR. DOMINIC K. HO M.D.
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
1173000000XLegal MedicineG52943CA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
100G529430OTHERCAHEALTH PLAN OF SAN MATEO

General Provider Information

NPI Number : 1881610582
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. DOMINIC K. HO M.D.
Provider Business Mailing Address
First Line : 50 S SAN MATEO DR STE 488
Second Line :
City : SAN MATEO
State : CA
Zip : 94401-3833
Country : US
Telephone Number : 650-342-0663
Fax Number : 650-342-0821
Provider Business Practice Location Address
First Line : 50 S SAN MATEO DR STE 488
Second Line :
City : SAN MATEO
State : CA
Zip : 94401-3833
Country : US
Telephone Number : 650-342-0663
Fax Number : 650-342-0821
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/14/2006
Last Update Date : 07/08/2007

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