Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223G0001X | General Practice | 57980 | CA |
Y | 213EG0000X | General Practice | 57980 | CA |
NPI | 1003051541 |
---|---|
Provider Name | Dr. Cuong Chi Ho |
First Address | San Francisco, CA 94127-1306 |
Second Address | San Francisco, CA 94127-1306 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/12/2008 |
Last Update Date | 25/08/2011 |