Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207X00000X | Orthopaedic Surgeon | A97281 | CA |
N | 207XX0005X | Sports Medicine Orthopaedic Surgeon | 227009 | MA |
NPI | 1124050653 |
---|---|
Provider Name | Jason Y Ho |
First Address | Oakland, CA 94612-3466 |
Second Address | Walnut Creek, CA 94596-5318 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/07/2006 |
Last Update Date | 09/12/2021 |