Healthcare Provider Details

I. General information

NPI: 1013301704
Provider Name (Legal Business Name): VINCENT HO
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/20/2015
Last Update Date: 06/05/2026
Certification Date: 06/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3410 W 3RD ST
LOS ANGELES CA
90020-1622
US

IV. Provider business mailing address

3410 W 3RD ST
LOS ANGELES CA
90020-1622
US

V. Phone/Fax

Practice location:
  • Phone: 213-480-3112
  • Fax:
Mailing address:
  • Phone: 626-716-6683
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835P0018X
TaxonomyPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
License Number49284
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code183500000X
TaxonomyPharmacist
License Number49284
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: