Healthcare Provider Details

I. General information

NPI: 1891957957
Provider Name (Legal Business Name): LINDA C. HO M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/30/2008
Last Update Date: 07/18/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

216 W PUEBLO ST SUITE A
SANTA BARBARA CA
93105-3855
US

IV. Provider business mailing address

216 W PUEBLO ST SUITE A
SANTA BARBARA CA
93105-3855
US

V. Phone/Fax

Practice location:
  • Phone: 805-845-2500
  • Fax: 805-845-2501
Mailing address:
  • Phone: 805-845-2500
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code202K00000X
TaxonomyPhlebology Physician
License Number121469
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: