Healthcare Provider Details

I. General information

NPI: 1477084747
Provider Name (Legal Business Name): DAVID HO
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/27/2017
Last Update Date: 06/20/2024
Certification Date: 06/20/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12966 EUCLID ST STE 495
GARDEN GROVE CA
92840-9209
US

IV. Provider business mailing address

12966 EUCLID ST STE 495
GARDEN GROVE CA
92840-9209
US

V. Phone/Fax

Practice location:
  • Phone: 714-461-3687
  • Fax:
Mailing address:
  • Phone: 714-461-3687
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License NumberASW115694
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: