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General NPI Number Information
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NPI Number | 1447775499
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Entity Type | Organization
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Legal Business Name | DREW HO MD, INC
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Dates
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Enumeration Date | 08/11/2017
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Last Update Date | 08/11/2017
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Provider Practice Location Address
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Address Line | 4368 SPYRES WAY
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City | MODESTO
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State | CA
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Zip | 95356-9259
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Country | US
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Telephone | 209-578-6300
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 2386
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City | OAKDALE
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State | CA
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Zip | 95361-5386
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Country | US
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Telephone | 209-639-2970
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. ANDREW PO HO
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Credential | MD
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Telephone | 209-639-2970
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251G00000X
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Taxonomy Name | Community Based Hospice Care Agency
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License Number | A84793
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number | A84793
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 261QP2400X
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Taxonomy Name | Prison Health Clinic/Center
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License Number | A84793
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License Number State | CA
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Taxonomy #4
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Taxonomy Code | 314000000X
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Taxonomy Name | Skilled Nursing Facility
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License Number | A84793
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License Number State | CA
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Taxonomy #5
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Taxonomy Code | 282N00000X
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Taxonomy Name | General Acute Care Hospital
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License Number | A84793
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License Number State | CA
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Taxonomy #6
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Taxonomy Code | 283X00000X
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Taxonomy Name | Rehabilitation Hospital
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License Number | A84793
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License Number State | CA
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Taxonomy #7
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Taxonomy Code | 261QP0905X
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Taxonomy Name | State or Local Public Health Clinic/Center
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License Number | A84793
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License Number State | CA
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