Healthcare Provider Details

I. General information

NPI: 1346495843
Provider Name (Legal Business Name): CHESI HO PHARM.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/25/2008
Last Update Date: 11/25/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1380 HOWARD ST ROOM 130
SAN FRANCISCO CA
94103-2638
US

IV. Provider business mailing address

1380 HOWARD ST ROOM 130
SAN FRANCISCO CA
94103-2638
US

V. Phone/Fax

Practice location:
  • Phone: 415-255-3659
  • Fax: 415-252-3036
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835P0018X
TaxonomyPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
License NumberRPH58610
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: