Healthcare Provider Details

I. General information

NPI: 1649967670
Provider Name (Legal Business Name): NEIL ANGELO HO MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/19/2023
Last Update Date: 09/18/2026
Certification Date: 09/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4791 E PALM CANYON DR
PALM SPRINGS CA
92264-5220
US

IV. Provider business mailing address

4791 E PALM CANYON DR
PALM SPRINGS CA
92264-5220
US

V. Phone/Fax

Practice location:
  • Phone: 760-834-7930
  • Fax: 760-834-7931
Mailing address:
  • Phone: 760-834-7930
  • Fax: 760-834-7931

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberA21149
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: