Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213E00000X | Podiatrist | E4451 | CA |
Y | 222Z00000X | Podiatrist | E4451 | CA |
NPI | 1013901271 |
---|---|
Provider Name | Timothy C Ho |
First Address | San Jose, CA 95148-3649 |
Second Address | San Jose, CA 95118-1250 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 02/09/2005 |
Last Update Date | 23/02/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
2966435 | (05) | CA |
PO0222676 | RAILROAD MEDICARE (01) | CA |
U76586 | (02) | CA |