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NPI Code Detail

MEDICARE: CHARLES HOO

MEDICARE:   CHARLES  HOO
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
12085R0202XDiagnostic Radiology Physician30268WV
22085R0202XDiagnostic Radiology Physician0101271610VA
32085R0202XDiagnostic Radiology PhysicianA93239CA

General Provider Information

NPI Number : 1356568810
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHARLES HOO
Provider Business Mailing Address
First Line : PO BOX 880
Second Line :
City : LIMA
State : OH
Zip : 45802-0880
Country : US
Telephone Number : 866-482-5419
Fax Number :
Provider Business Practice Location Address
First Line : 3260 COOLIDGE AVE
Second Line :
City : LOS ANGELES
State : CA
Zip : 90066-1219
Country : US
Telephone Number : 952-595-1100
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/19/2007
Last Update Date : 06/09/2021

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Directions to “ CHARLES HOO ” Practice Location

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