Basic Information
| Provider Information | |||||||||
| NPI: | 1770874919 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | VINCENT D HO INC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 8843 VALLEY BLVD | ||||||||
| Address2: | |||||||||
| City: | ROSEMEAD | ||||||||
| State: | CA | ||||||||
| PostalCode: | 917701713 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6262148829 | ||||||||
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| Practice Location | |||||||||
| Address1: | 8843 VALLEY BLVD | ||||||||
| Address2: | |||||||||
| City: | ROSEMEAD | ||||||||
| State: | CA | ||||||||
| PostalCode: | 917701713 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6262878866 | ||||||||
| FaxNumber: | 6262878861 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 04/21/2011 | ||||||||
| LastUpdateDate: | 11/02/2011 | ||||||||
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| AuthorizedOfficialLastName: | HO | ||||||||
| AuthorizedOfficialFirstName: | VINCENT | ||||||||
| AuthorizedOfficialMiddleName: | DIEN | ||||||||
| AuthorizedOfficialTitleorPosition: | PRESIDENT | ||||||||
| AuthorizedOfficialTelephone: | 6262878866 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialNamePrefix: | DR. | ||||||||
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| AuthorizedOfficialCredential: | MD | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207Q00000X | A84224 | CA | Y | 193400000X SINGLE SPECIALTY GROUP | Allopathic & Osteopathic Physicians | Family Medicine |
No ID Information.