MEDICARE: DR. KI HONG KEVIN HO MD

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
1	237700000X	Hearing Instrument Specialist	8618	CA
2	207Y00000X	Otolaryngology Physician	BP1-0023049	TX
3	207Y00000X	Otolaryngology Physician	A110838	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	2798410799	OTHER		MYUTMB 2798410799-COMMERCIAL NUMBER

General Provider Information

NPI Number	:	1215131883
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. KI HONG KEVIN HO MD

Provider Business Mailing Address
First Line	:	270 SAN ANSELMO AVE
Second Line	:
City	:	SAN FRANCISCO
State	:	CA
Zip	:	94127-2049
Country	:	US
Telephone Number	:	415-682-8181
Fax Number	:

Provider Business Practice Location Address
First Line	:	1711 TARAVAL ST
Second Line	:
City	:	SAN FRANCISCO
State	:	CA
Zip	:	94116-2308
Country	:	US
Telephone Number	:	415-682-8181
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/14/2007
Last Update Date	:	12/15/2023

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