Healthcare Provider Details

I. General information

NPI: 1669239927
Provider Name (Legal Business Name): DIANA HO D.AC, L.AC, LMT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/04/2024
Last Update Date: 05/26/2026
Certification Date: 05/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3608 DIAMOND HEAD CIR
HONOLULU HI
96815-4430
US

IV. Provider business mailing address

3458A EDNA ST
HONOLULU HI
96815-4395
US

V. Phone/Fax

Practice location:
  • Phone: 415-439-0470
  • Fax:
Mailing address:
  • Phone: 808-600-4333
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number1441
License Number StateHI
# 2
Primary TaxonomyN
Taxonomy Code225700000X
TaxonomyMassage Therapist
License NumberMAT-17760
License Number StateHI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: