Healthcare Provider Details

I. General information

NPI: 1245808427
Provider Name (Legal Business Name): H SQUARED HEALTH CLINIC INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/15/2021
Last Update Date: 06/16/2021
Certification Date: 06/16/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

35056 KNOLLVIEW CT
WINCHESTER CA
92596-8440
US

IV. Provider business mailing address

31370 CLUB VISTA LN
BONSALL CA
92003-5303
US

V. Phone/Fax

Practice location:
  • Phone: 760-828-2196
  • Fax:
Mailing address:
  • Phone: 760-696-7023
  • Fax:

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 Code363L00000X
TaxonomyNurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: DR. HUY HO
Title or Position: OWNER
Credential: MD
Phone: 760-828-2196