Basic Information
Provider Information
NPI: 1497808950
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: HO
FirstName: COTY
MiddleName: P
NamePrefix: DR.
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 1180 N INDIAN CANYON DR
Address2: STE E218
City: PALM SPRINGS
State: CA
PostalCode: 922624800
CountryCode: US
TelephoneNumber: 7604164749
FaxNumber: 7604164903
Practice Location
Address1: 1180 N INDIAN CANYON DR
Address2: STE E218
City: PALM SPRINGS
State: CA
PostalCode: 922624800
CountryCode: US
TelephoneNumber: 7604164749
FaxNumber: 7604164903
Other Information
ProviderEnumerationDate: 01/19/2007
LastUpdateDate: 06/05/2016
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: Y
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207RX0202X28280OKN Allopathic & Osteopathic PhysiciansInternal MedicineMedical Oncology
207RX0202XBH6437075CAY Allopathic & Osteopathic PhysiciansInternal MedicineMedical Oncology

No ID Information.


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