Healthcare Provider Details

I. General information

NPI: 1740923143
Provider Name (Legal Business Name): JUSTIN ALEXANDER HO MD, MPH
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/14/2022
Last Update Date: 07/09/2026
Certification Date: 07/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3751 KATELLA AVE
LOS ALAMITOS CA
90720-3113
US

IV. Provider business mailing address

3751 KATELLA AVE
LOS ALAMITOS CA
90720-3113
US

V. Phone/Fax

Practice location:
  • Phone: 810-342-2000
  • Fax: 810-342-3659
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License NumberA207182
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number4351049918
License Number StateMI
# 3
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number4351049918
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: