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NPI Code Detail

MEDICARE: KENNETH HO MD

MEDICARE:   KENNETH  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
1207R00000XInternal Medicine PhysicianG61808CA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1588665798
Entity Type Code : Individual
Provider Name (Legal Business Name) : KENNETH HO MD
Provider Business Mailing Address
First Line : 4314 W. SLAUSON AVENUE
Second Line : 2ND FLOOR
City : LOS ANGELES
State : CA
Zip : 90043
Country : US
Telephone Number : 323-298-2540
Fax Number :
Provider Business Practice Location Address
First Line : 4314 W SLAUSON AVE
Second Line :
City : LOS ANGELES
State : CA
Zip : 90043-2808
Country : US
Telephone Number : 323-298-2540
Fax Number : 310-531-2241
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/10/2005
Last Update Date : 11/18/2021

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Directions to “ KENNETH HO MD” Practice Location

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