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NPI Code Detail

MEDICARE: PEI JU HO

MEDICARE: PEI JU HO
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225XP0019XPhysical Rehabilitation Occupational Therapist19088CA

General Provider Information

NPI Number : 1194209320
Entity Type Code : Individual
Provider Name (Legal Business Name) : PEI JU HO
Provider Business Mailing Address
First Line : 350 E TAYLOR ST APT 5104
Second Line :
City : SAN JOSE
State : CA
Zip : 95112-3165
Country : US
Telephone Number : 323-215-6702
Fax Number :
Provider Business Practice Location Address
First Line : 2500 COUNTRY DR
Second Line :
City : FREMONT
State : CA
Zip : 94536-5356
Country : US
Telephone Number : 510-792-4242
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/24/2018
Last Update Date : 09/24/2018

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Directions to “ PEI JU HO ” Practice Location

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