Healthcare Provider Details

I. General information

NPI: 1487970547
Provider Name (Legal Business Name): GWENDOLYN HANH HO MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/14/2010
Last Update Date: 01/23/2025
Certification Date: 01/23/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2589 SAMARITAN DR
SAN JOSE CA
95124-4102
US

IV. Provider business mailing address

2589 SAMARITAN DR
SAN JOSE CA
95124-4102
US

V. Phone/Fax

Practice location:
  • Phone: 408-426-4900
  • Fax:
Mailing address:
  • Phone: 408-426-4900
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberA118908
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code207RX0202X
TaxonomyMedical Oncology Physician
License NumberA118908
License Number StateCA
# 3
Primary TaxonomyY
Taxonomy Code207RH0000X
TaxonomyHematology (Internal Medicine) Physician
License NumberA118908
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: