Healthcare Provider Details

I. General information

NPI: 1528017621
Provider Name (Legal Business Name): DAVID A. HOH OD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/08/2006
Last Update Date: 09/07/2023
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

373 9TH STREET SUITE 201
OAKLAND CA
94607
US

IV. Provider business mailing address

373 9TH STREET SUITE 201
OAKLAND CA
94607
US

V. Phone/Fax

Practice location:
  • Phone: 510-832-2020
  • Fax:
Mailing address:
  • Phone: 510-832-2020
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number7821T
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: