Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | A100210 | CA |
Y | 2080P0205X | Pediatric Endocrinologist | A100210 | CA |
NPI | 1245437433 |
---|---|
Provider Name | Dr. Thu Phuong Ho |
First Address | San Jose, CA 95148-2075 |
Second Address | San Jose, CA 95148-2075 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 29/06/2007 |
Last Update Date | 14/05/2015 |