MEDICARE: DR. VALESIA ESPERANZA HO PSYD, MSW

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	104100000X	Social Worker
2	103TC0700X	Clinical Psychologist	PSY31419	CA

General Provider Information

NPI Number	:	1548506611
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. VALESIA ESPERANZA HO PSYD, MSW

Provider Business Mailing Address
First Line	:	2202 REGATTA WAY
Second Line	:
City	:	SAN LEANDRO
State	:	CA
Zip	:	94579-2705
Country	:	US
Telephone Number	:	510-351-9091
Fax Number	:	510-351-9091

Provider Business Practice Location Address
First Line	:	2095 VAN NESS AVE
Second Line	:
City	:	SAN FRANCISCO
State	:	CA
Zip	:	94109-3009
Country	:	US
Telephone Number	:	415-840-0844
Fax Number	:	415-484-7083

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

Provider Enumeration Date	:	12/18/2012
Last Update Date	:	07/28/2023

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