Healthcare Provider Details

I. General information

NPI: 1619807344
Provider Name (Legal Business Name): HAN HO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: JENNIFER HO

II. Dates (important events)

Enumeration Date: 05/22/2026
Last Update Date: 05/22/2026
Certification Date: 05/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1835 SUNNY CREST DR
FULLERTON CA
92835-3616
US

IV. Provider business mailing address

1835 SUNNY CREST DR
FULLERTON CA
92835-3616
US

V. Phone/Fax

Practice location:
  • Phone: 714-446-5101
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number95138510
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: