Healthcare Provider Details

I. General information

NPI: 1871781260
Provider Name (Legal Business Name): LAREINA K.L. HO EDD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/10/2007
Last Update Date: 08/15/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3671 BUSINESS DR UCDAVIS CAARE CENTER
SACRAMENTO CA
95820-2165
US

IV. Provider business mailing address

3671 BUSINESS DR UC DAVIS CAARE CENTER
SACRAMENTO CA
95820-2165
US

V. Phone/Fax

Practice location:
  • Phone: 916-734-6627
  • Fax: 916-734-4150
Mailing address:
  • Phone: 916-734-6627
  • Fax: 916-734-4150

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC1900X
TaxonomyCounseling Psychologist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: