Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207Q00000X | Family Doctor | A32362 | CA |
N | 208D00000X | General Practice Physician | A32362 | CA |
NPI | 1033223045 |
---|---|
Provider Name | Shin Pin Ho |
First Address | Canyon Country, CA 91351-4135 |
Second Address | Canyon Country, CA 91351-4135 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 18/08/2006 |
Last Update Date | 19/05/2010 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00A323620 | (05) | CA |
A87706 | (02) | CA |