Healthcare Provider Details

I. General information

NPI: 1306142682
Provider Name (Legal Business Name): HOAI-KY V. HO, M.D., INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/03/2011
Last Update Date: 06/15/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

27800 MEDICAL CENTER RD SUITE 130
MISSION VIEJO CA
92691-6407
US

IV. Provider business mailing address

521 S LOARA ST
ANAHEIM CA
92802-1221
US

V. Phone/Fax

Practice location:
  • Phone: 714-299-4929
  • Fax: 714-276-2736
Mailing address:
  • Phone: 714-299-4929
  • Fax: 714-276-2736

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207W00000X
TaxonomyOphthalmology Physician
License NumberA102385
License Number StateCA

VIII. Authorized Official

Name: DR. HOAI-KY VU HO
Title or Position: OPHTHALMOLOGIST
Credential: M.D.
Phone: 714-299-4929