Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208800000X | Urologist | 149421 | CA |
N | 208800000X | Urologist | 2012018713 | MO |
NPI | 1003179128 |
---|---|
Provider Name | Dr. Tammy S Ho |
First Address | Irvine, CA 92618-3783 |
Second Address | Irvine, CA 92618-3783 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/06/2012 |
Last Update Date | 04/02/2019 |