Healthcare Provider Details

I. General information

NPI: 1023830288
Provider Name (Legal Business Name): HO MEDICAL GROUP, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/29/2024
Last Update Date: 10/31/2024
Certification Date: 10/31/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

929 CLAY ST STE 401
SAN FRANCISCO CA
94108-1556
US

IV. Provider business mailing address

929 CLAY ST STE 401
SAN FRANCISCO CA
94108-1556
US

V. Phone/Fax

Practice location:
  • Phone: 415-982-4100
  • Fax: 628-228-3197
Mailing address:
  • Phone: 415-982-4100
  • Fax: 628-228-3197

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License Number
License Number State

VIII. Authorized Official

Name: GUSTIN MING-SUN HO
Title or Position: PRESIDENT
Credential: MD
Phone: 415-982-4100